MELISSA WUOLTEE (NPI# 1649487075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649487075 |
| Entity Type | Individual |
| Full Name | MELISSA WUOLTEE |
| Practice Address |
1120 S Dora St Ukiah CA 95482-6340 |
| Practice Telephone | 7074560643 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 364S00000X | Clinical Nurse Specialist | RN245251 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| X | 364SC1501X |
Clinical Nurse Specialist Specialization: Community Health/Public Health |
RN245251 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1120 S DORA ST |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-6340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811005440 | Carol Lynne Kelsey | Nurse Practitioner | 1120 S Dora St, Ukiah, CA 95482-6340 | 2006-08-25 |
| 1306471230 | Luz Maria Machado Cramer | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2020-03-11 |
| 1265073977 | Melinda Joann-holt Driggers | Case Manager/Care Coordinator | 1120 S Dora St, Ukiah, CA 95482-6340 | 2019-10-03 |
| 1437708450 | Paul Murguia IIi | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2019-09-11 |
| 1548822851 | Jessica Toste | Licensed Vocational Nurse | 1120 S Dora St, Ukiah, CA 95482-6340 | 2019-07-08 |
| 1063985398 | Mimi Whittaker | Case Manager/Care Coordinator | 1120 S Dora St, Ukiah, CA 95482-6340 | 2019-01-09 |
| 1801368527 | Khadananda Bhandari | Case Manager/Care Coordinator | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-12-19 |
| 1053899203 | Chiah Jasmine Cassells | Counselor | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-07-31 |
| 1285110437 | Natalie Levchenko | Registered Nurse | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-07-11 |
| 1093206153 | Sharon Convery | Registered Nurse | 1120 S Dora St, Ukiah, CA 95482-6340 | 2018-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
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| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053592683 | Margaret Mcmichael | Clinical Nurse Specialist | 1120 S Dora St, Ukiah, CA 95482-6340 | 2007-11-26 |
| 1134338502 | Erika Nosera | Clinical Nurse Specialist | 1120 S Dora St, Ukiah, CA 95482-6340 | 2007-05-22 |
| 1831306265 | Linda Strong | Clinical Nurse Specialist | 1120 S Dora St, Ukiah, CA 95482-6340 | 2007-05-16 |
| 1528275948 | Cheryl A Newman | Clinical Nurse Specialist | 1120 S Dora St, Ukiah, CA 95482-6340 | 2007-05-16 |
| 1275740698 | Linda Bouskill Nagel | Clinical Nurse Specialist | 1120 S Dora St, Ukiah, CA 95482-6340 | 2007-05-16 |
| 1194932525 | Carol Whittingslow | Clinical Nurse Specialist | 1120 S Dora St, Ukiah, CA 95482-6340 | 2007-05-16 |
| 1639386063 | Barbara Waugh | Clinical Nurse Specialist | 1120 S Dora St, Ukiah, CA 95482-6340 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336956 | Ryan Russo | Clinical Nurse Specialist | 2376 Soto St, San Diego, CA 92107-1410 | 2020-11-07 |
| 1386243228 | Jennifer Mccoy | Clinical Nurse Specialist | 28720 Canwood St Ste 108, Agoura Hills, CA 91301-9745 | 2020-10-21 |
| 1992311757 | Jose Chavez | Clinical Nurse Specialist | 4940 Laurel Canyon Blvd Apt 101, Valley Village, CA 91607-6007 | 2020-09-17 |
| 1134697238 | Tomoko Takano | Clinical Nurse Specialist | 1520 Los Montes Dr, Burlingame, CA 94010-5964 | 2018-11-06 |
| 1811465388 | Mary Molle | Clinical Nurse Specialist | 7509 Whitegate Ave, Riverside, CA 92506-5455 | 2018-11-02 |
| 1205320322 | Richelle Marvett Littlejohn | Clinical Nurse Specialist | 1364 W 139th St Unit A, Gardena, CA 90247-2235 | 2018-06-21 |
| 1871015834 | Cecilia Patricia Gray | Clinical Nurse Specialist | 1200 N State St # Gh-4220, Los Angeles, CA 90033-1029 | 2017-07-12 |
| 1144752650 | Joann Munski | Clinical Nurse Specialist | 565 Cooper Dr, Benicia, CA 94510-1301 | 2017-04-03 |
| 1659721249 | Darwin Sacdalan | Clinical Nurse Specialist | 7137 Lyndale Cir, Elk Grove, CA 95758-6357 | 2016-06-15 |
| 1548679442 | Renee Center | Clinical Nurse Specialist | 216 Phelan Ave, Vallejo, CA 94590-6463 | 2014-08-05 |
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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.