DR. MELISSA R ROSE (NPI# 1558488148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558488148 |
| Entity Type | Individual |
| Full Name | DR. MELISSA R ROSE |
| Credential | PT, DPT, OCS |
| Practice Address |
301 Fisher St Biloxi MS 39534-2508 |
| Mailing Address |
10806 Palomino Blf San Antonio TX 78245-3687 |
| Practice Telephone | 2283760446 |
| Mailing Telephone | 7245108175 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 1173293 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 011516 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 171000000X | Military Health Care Provider | 1173293 | TX | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841852407 | Melissa Lynn Rose | Licensed Practical Nurse | Pcn, 1960 Thompson Dr, Sedro Wooley, WA 98284 | 2019-07-03 |
| 1023506284 | Melissa Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 46 Neal St, Gardiner, ME 04345 | 2018-04-24 |
| 1487846846 | Melissa Ann Carnes Rose | Audiologist | 57 Tamarack Ln, Fairmont, WV 26554-3486 | 2007-08-09 |
| 1013082007 | Melissa Rose | Speech-Language Pathologist | 4239 Vienna Way, Marietta, GA 30062 | 2006-11-22 |
| 1093111924 | Melissa Smith Rose | Nurse Practitioner | 702 S Main St, Randleman, NC 27317-2102 | 2014-11-04 |
| 1932528809 | Melissa Rose | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2014-04-08 |
| 1225302839 | Melissa Ann Rose | Nurse Practitioner | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2012-02-29 |
| 1033441571 | Melissa Grace Rose | Registered Nurse | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2010-02-09 |
| 1730323031 | Melissa Lobel Rose | Pediatrics | 5645 Main St, New York-presbyterian/queens, Flushing, NY 11355-5045 | 2009-04-30 |
| 1912192535 | Melissa June Rose | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2007-09-06 |
| Street Address |
301 FISHER ST |
| City | BILOXI |
| State | MS |
| Zip Code | 39534-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861099913 | Enrique I Padron | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-10-01 |
| 1891307096 | Allison Kathleen Rita Hauge | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-08-19 |
| 1417569625 | Ryan Woolfe | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-08-19 |
| 1457963027 | Crystal Lee Cowan | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-08-17 |
| 1811505910 | Michael Andes | Dentist | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-07-15 |
| 1275155301 | Emily Kathryn Doe | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-12 |
| 1578185955 | Sean Lan | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-08 |
| 1427679109 | Nicholas William D'amico | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-04 |
| 1487283701 | Jeremy Alan Meldrum | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-04-07 |
| 1881229623 | Jesse Recarte | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-03-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568918 | Hanna Chang | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme (keesler Afb), 301 Fisher St, Rm 5a127, Biloxi, MS 39534 | 2020-05-05 |
| 1720617079 | Briana Polk | Student in an Organized Health Care Education/Training Program | Keesler Air Force Base, 301 Fisher Street, Biloxi, MS 39534 | 2020-04-07 |
| 1437718756 | Marquise Westbrook | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-06-11 |
| 1124682729 | Joseph Paul Cervone | Student in an Organized Health Care Education/Training Program | 81 Mdss/gme 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-04-29 |
| 1083120851 | Kaitlin May Gruenberg | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2017-12-15 |
| 1760912513 | Michael Zipper | Military Health Care Provider | 301 Fisher St, Rm 5a127, 81msgs/sgcq, Keesler Afb, MS 39534 | 2017-06-14 |
| 1184073181 | 81msgs/sgcq | General Acute Care Hospital | 81msgs/sgcq, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-09 |
| 1174972772 | Usaf 81st Medical Group | Military Hospital | 81msgs/sgcq 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-06 |
| 1548644677 | Jim Li | Dentist | 81st Medical Group, Keesler Afb, Apo, AA 39534 | 2015-07-18 |
| 1245610872 | Zachary Austin Masters | Surgery | 301 Fisher Street, Rm 5a127, Keesler Air Force Base, MS 39534 | 2015-06-09 |
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| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215049283 | Angela Victoria Thrahser | Military Health Care Provider | 111 G St, Arnold Annex, Bldg 5901, Biloxi, MS 39534-2410 | 2006-08-31 |
| 1093349094 | Victor Dang Hoang | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-02-27 |
| 1700438710 | Jacob Travis Burlew | Military Health Care Provider | 500 Fisher St, Biloxi, MS 39534-2502 | 2019-07-10 |
| 1568936532 | James Barbosa | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2019-01-14 |
| 1811482730 | Gregory Buford Jr. | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2018-06-22 |
| 1992225262 | Bradly S. Brown | Military Health Care Provider | 500 Fisher St, Biloxi, MS 39534-2502 | 2017-06-27 |
| 1144750522 | Jonathan Charles Levin | Military Health Care Provider | 301 Fisher St Rm 5a127, Biloxi, MS 39534-2508 | 2017-06-18 |
| 1588013858 | Daniel Barker | Military Health Care Provider | 301 Fisher St Rm 5a127, Keesler Afb, Biloxi, MS 39534 | 2016-06-08 |
| 1730113374 | Virgil Sinatra Jefferson | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2519 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558853689 | John Levasseur | Military Health Care Provider | 301 Fisher St Rm 1g123, Keesler Afb, MS 39534-2508 | 2018-06-05 |
| 1396250031 | Lilly Pad Home Health, LLC | Military Health Care Provider | 1507 Hardy St Ste 201, Hattiesburg, MS 39401-4978 | 2017-12-04 |
| 1760912513 | Michael Zipper | Military Health Care Provider | 301 Fisher St, Rm 5a127, 81msgs/sgcq, Keesler Afb, MS 39534 | 2017-06-14 |
| 1881945566 | Robert Ray Ellis | Military Health Care Provider | 10194 Cottage Ct, Diberville, MS 39540-4744 | 2012-09-21 |
| 1457566374 | James Wesley Clements | Military Health Care Provider | 664 S State St, Jackson, MS 39201-5611 | 2007-05-14 |
| 1861453870 | Daniel Bruce Smith | Military Health Care Provider | 22224 Lorene Road, Gulfport, MS 39503 | 2006-03-29 |
| 1780113670 | Jaime Patricia Umberger | Military Health Care Provider | 301 Fisher St Rm 5a127, Keesler Afb, MS 39534-2508 | 2017-06-05 |
| 1215386677 | Pamela Anna Rudnicki | Military Health Care Provider | 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534-2508 | 2016-06-07 |
| 1730538067 | Elizabeth Brooke Honeycutt | Military Health Care Provider | 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534-2508 | 2016-06-07 |
| 1932558392 | Evan Dannhardt | Military Health Care Provider | 301 Fisher St Rm 5a127, Keesler Afb, MS 39534-2508 | 2016-06-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.