MELISSA CAROL SMITH (NPI# 1609156116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609156116 |
| Entity Type | Individual |
| Full Name | MELISSA CAROL SMITH |
| Credential | FNP |
| Practice Address |
102 Medical Park Hattiesburg MS 39401 |
| Mailing Address |
415 S 28th Ave Hattiesburg MS 39401-7246 |
| Practice Telephone | 6012615159 |
| Practice Fax Number | 6015451740 |
| Mailing Telephone | 6012615159 |
| Mailing Fax Number | 6015795240 |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | R772529 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
772529 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04801821 | 05 | |
| MS | AETNA | 9308703 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801416409 | Melissa Suzanne Smith | Psychologist | 1000 Low Gap Rd, Ukiah, CA 95482-3737 | 2020-04-23 |
| 1003442047 | Melissa Smith | Speech-Language Pathologist | 1451 Rosewood Ave, Lakewood, OH 44107-3733 | 2020-03-22 |
| 1609417971 | Melissa Smith | Registered Nurse | 8601 Arbor St, Omaha, NE 68124-2149 | 2019-10-08 |
| 1568016798 | Melissa Dean Smith | Marriage & Family Therapist | 8106 Red Stone Hill Rd, Louisville, KY 40214-4614 | 2019-07-25 |
| 1710445150 | Melissa Hatton Smith | Dietitian, Registered | 3226 Greenwich Village Blvd Apt 102, Orlando, FL 32835-7575 | 2019-03-05 |
| 1134600869 | Melissa Maria Smith | Occupational Therapist | 1361 Shallowbend Dr, Midlothian, TX 76065-6972 | 2018-08-21 |
| 1851870604 | Melissa Smith | Registered Nurse | 212 Fernwood St, Bridge City, TX 77611-2328 | 2018-08-13 |
| 1699265017 | Melissa Ann Smith | Specialist/Technologist | 16620 S 48th St Unit 46, Phoenix, AZ 85048-1205 | 2018-05-10 |
| 1124559364 | Melissa Smith | Behavior Technician | 34119 Alameda Dr, Sorrento, FL 32776-6955 | 2017-03-21 |
| 1588019434 | Melissa Sue Smith | Optometrist | 1880 Kenneth Rd Ste 1, York, PA 17408-6344 | 2016-04-28 |
| Street Address |
102 MEDICAL PARK |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134174097 | Elizabeth M Felder | Pediatrics | 102 Medical Park, Hattiesburg, MS 39401-8025 | 2006-05-22 |
| 1215354691 | Lauren English | Physician Assistant | 102 Medical Park, Hattiesburg, MS 39401 | 2014-03-24 |
| 1588908545 | Carrie Ellen Morgan | Psychologist | 102 Medical Park, Hattiesburg, MS 39401 | 2012-11-15 |
| 1962713297 | Cathryne E Wells | Speech-Language Pathologist | 102 Medical Park, Hattiesburg, MS 39401 | 2010-07-01 |
| 1740500925 | Krystal Massey Draughn | Social Worker | 102 Medical Park, Hattiesburg, MS 39401 | 2010-06-10 |
| 1154641108 | Carol Benedict Simmons | Counselor | 102 Medical Park, Hattiesburg, MS 39401 | 2010-06-01 |
| 1699913202 | Melanie Raye Hamm | Nurse Practitioner | 102 Medical Park, Hattiesburg, MS 39401 | 2009-02-04 |
| 1548425341 | Joshua Richard Hamm | Counselor | 102 Medical Park, Hattiesburg, MS 39401 | 2008-07-22 |
| 1104979731 | Tammara Ann Jordan | Speech-Language Pathologist | 102 Medical Park, Hattiesburg, MS 39401 | 2007-01-18 |
| 1417061250 | Ronald S Kent | Pediatrics | 102 Medical Park, Hattiesburg, MS 39401 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278618 | Joshua Cole Hammons | Nurse Practitioner | 2134 Weeping Willow Cir, Hattiesburg, MS 39402-6096 | 2020-09-05 |
| 1518571900 | Lawanda Nicole Ellis | Nurse Practitioner | 4124 W 4th St Apt 2010, Hattiesburg, MS 39401-5791 | 2020-09-02 |
| 1851913768 | Maryam Rahmanian | Nurse Practitioner | 27 Lake Forgetful Apt 815, Hattiesburg, MS 39402-8288 | 2020-05-13 |
| 1477188332 | Stacy Williams | Nurse Practitioner | 18 Nicolaus Dr, Hattiesburg, MS 39402-8112 | 2020-03-10 |
| 1932740578 | Felisa Jeannette Hall | Nurse Practitioner | 216 Westover Dr, Hattiesburg, MS 39402-1374 | 2019-10-04 |
| 1164072278 | Vivian Wright Pittman | Nurse Practitioner | 108 Northwest Cir, Hattiesburg, MS 39401-4512 | 2019-09-19 |
| 1821650045 | Charlotte Denise Andrews | Nurse Practitioner | 198 Millpond Dr, Hattiesburg, MS 39401-5561 | 2019-07-08 |
| 1285107318 | Talphineta Alisha Kelly | Nurse Practitioner | 9 Waverly Cir, Hattiesburg, MS 39402-8375 | 2019-01-11 |
| 1467931642 | Shuntay Mccormick | Nurse Practitioner | 163 Augustine Dr, Hattiesburg, MS 39402-7836 | 2018-08-09 |
| 1548768260 | Tavithia Heidelburg | Nurse Practitioner | 4 Willow Pt Ste 40, Hattiesburg, MS 39402-1150 | 2018-01-28 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
Please comment or provide details below to improve the information on MELISSA CAROL SMITH.
| 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.