MRS. JENNIFER L MELILLO (NPI# 1629139878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629139878 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER L MELILLO |
| Credential | PMHNP |
| Practice Address |
6275 E Virginia Beach Blvd Ste 300 Norfolk VA 23502-2851 |
| Practice Telephone | 7579610606 |
| Practice Fax Number | 7572338499 |
| Mailing Telephone | 7579610606 |
| Mailing Fax Number | 7572338499 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2019-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0001160085 | VA | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024169372 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024169372 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1629139878 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730379199 | Jennifer Anne Melillo | Speech-Language Pathologist | 3301 Westbourne Dr, Cincinnati, OH 45248-5127 | 2007-07-31 |
| Street Address |
6275 E VIRGINIA BEACH BLVD STE 300 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23502-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689673253 | Charles E Parker | Psychiatry & Neurology | 6275 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502-2851 | 2005-07-18 |
| 1568746485 | Emily Taraskiewicz | Counselor | 6275 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502-2851 | 2011-10-11 |
| 1083746481 | Pamela Susan Billing | Counselor | 6275 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502-2851 | 2007-03-12 |
| 1558444786 | Paul Rosenberg | Social Worker | 6275 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502-2851 | 2006-10-23 |
| 1578656567 | K Jeffrey Schlichter | Psychologist | 6275 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502-2851 | 2006-10-02 |
| 1811923295 | Parker Schlichter & Associates | Counselor | 6275 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502-2851 | 2006-06-25 |
| 1568445542 | Deborah Lee Mostert | Counselor | 6275 E Virginia Beach Blvd Ste 300, Norfolk, VA 23502-2851 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210706 | Advantage Home Care, LLC | Home Health | 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 | 2018-10-01 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1548753833 | Murphy's Absolute Home Care LLC | Home Health | 983 Ingleside Rd Ste 6, Norfolk, VA 23502 | 2018-06-11 |
| 1487143939 | Valerie Sowder | Social Worker | 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 | 2018-05-09 |
| 1164938841 | Accupoint Diagnostics | Clinical Medical Laboratory | 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 | 2017-12-18 |
| 1467979351 | Lakeshia Louise Perryman | Counselor | 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 | 2017-08-23 |
| 1841536125 | Golden Touch Enterprise | Durable Medical Equipment & Medical Supplies | 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 | 2012-12-14 |
| 1497029011 | Kristine B Rand | Counselor | 6325 N Center Dr Ste 208, Norfolk, VA 23502 | 2012-02-29 |
| 1427343706 | Erica Leigh Streander | Pharmacist | 471 North Military Hwy, Norfolk, VA 23502 | 2011-06-14 |
| 1215239330 | Atlantic Physical Therapy | Specialist/Technologist | 5610 Lewis Rd, Norfolk, VA 23502 | 2010-11-22 |
| Find all providers in zip 23502 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268142 | Integral Health & Wellness | Nurse Practitioner | 1216 Granby St, Norfolk, VA 23510-2607 | 2020-06-07 |
| 1124686936 | Rachel Marie Mann | Nurse Practitioner | 333 W Norfolk Ave Ste 201, Norfolk, NE 68701-5221 | 2019-06-05 |
| 1114486362 | Nikki Viola Houlden | Nurse Practitioner | 1500 Koenigstein Ave, Norfolk, NE 68701-3664 | 2019-03-18 |
| 1780166249 | Toni P Plummer | Nurse Practitioner | 400 Gresham Dr Ste 301, Norfolk, VA 23507-1901 | 2018-08-31 |
| 1730692708 | Mary A Andersen | Nurse Practitioner | 333 W Norfolk Ave Ste 201, Norfolk, NE 68701-5221 | 2017-11-13 |
| 1003329020 | Marcella Bowen | Nurse Practitioner | 930 Redgate Ave, Norfolk, VA 23507-1518 | 2017-11-13 |
| 1851766646 | Janelle Rudnick | Nurse Practitioner | 1500 Koenigstein Ave, Norfolk, NE 68701-3664 | 2015-12-06 |
| 1942672027 | Tonya M Voecks | Nurse Practitioner | 1500 Koenigstein Ave, Psychiatric Services Frhs, Norfolk, NE 68701-3664 | 2015-10-28 |
| 1093118325 | Mary Patricia Kuehler | Nurse Practitioner | 1500 Koenigstein Ave, Norfolk, NE 68701-3664 | 2014-10-01 |
| 1225293806 | Mary D Kittle | Nurse Practitioner | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2008-07-23 |
| Find all providers in NORFOLK | ||||
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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.