MS. MELISSA ANNE SMITH (NPI# 1649571175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649571175 |
| Entity Type | Individual |
| Full Name | MS. MELISSA ANNE SMITH |
| Other Name | MS. MELISSA ANNE BOISSELLE |
| Credential | APN |
| Practice Address |
3900 Woodland Ave Philadelphia PA 19104-4551 |
| Mailing Address |
419 Delaware Ave Riverside NJ 08075-4007 |
| Practice Telephone | 2158235800 |
| Mailing Telephone | 6094333861 |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2020-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
26NR12116300 | NJ | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
26NJ01009500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
3900 WOODLAND AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851389837 | Richard Alsdorf Jr. | Nurse Anesthetist, Certified Registered | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2005-10-12 |
| 1487254744 | Jason Anthony Checchia | Nurse Practitioner | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-27 |
| 1639778327 | Bridget Murray | Physician Assistant | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-22 |
| 1114525367 | Madison Brannon | Emergency Medicine | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-10 |
| 1275131526 | Jonathan Mark Riley Jr. | Social Worker | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-10-09 |
| 1326655812 | Ashley Jill Maister | Pharmacist | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-09-28 |
| 1467079103 | Rohit Singla | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| 1851918585 | Matthew Clayton Mckeeman | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| 1699392316 | Jooyeon Park | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| 1205453941 | Lauren Miller | Student in an Organized Health Care Education/Training Program | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| 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 |
|---|---|---|---|---|
| 1770199341 | Nicole Kassandra Carissimi | Nurse Practitioner | 1618 S 19th St, Philadelphia, PA 19145-1439 | 2020-09-19 |
| 1770192775 | Lisa Ghiloni | Nurse Practitioner | 6809 N 10th St, Philadelphia, PA 19126-2906 | 2020-07-26 |
| 1104440940 | Patricia Cecilia Castillo | Nurse Practitioner | 49204 Delaire Landing Rd, Philadelphia, PA 19114-5329 | 2020-06-06 |
| 1184271074 | Clement John | Nurse Practitioner | 3253 N 6th St, Philadelphia, PA 19140-5644 | 2019-08-25 |
| 1558915967 | Latoya Mohammed | Nurse Practitioner | 3300 Henry Ave Ste 3n, Philadelphia, PA 19129-1141 | 2019-07-25 |
| 1225427867 | Alison Ercole | Nurse Practitioner | 4301 Spruce St, Apt A 414, Philadelphia, PA 19104-4760 | 2015-01-20 |
| 1790195386 | Thomasean Britten | Nurse Practitioner | 449 Parker Ave, Philadelphia, PA 19128-4403 | 2014-05-05 |
| 1891048377 | Elizabeth Ann Milburn | Nurse Practitioner | 1528 Walnut St Ste 1414, Philadelphia, PA 19102-3610 | 2012-10-20 |
| 1336410851 | Justin Egoville | Nurse Practitioner | 80001 State Rd., Mhm Correctional Services, Mod II, Philadelphia, PA 19136-0000 | 2012-01-13 |
| 1396050720 | Dwayne M Toomer | Nurse Practitioner | 718 Addison St Apt E, Philadelphia, PA 19147-1353 | 2010-08-10 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on MS. MELISSA ANNE 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.