MELANIE NICOLE BECKHAM (NPI# 1669097119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669097119 |
| Entity Type | Individual |
| Full Name | MELANIE NICOLE BECKHAM |
| Credential | RN, PMHNP |
| Practice Address |
1100 South Springfield Ave Suite B Bolivar MO 65613 |
| Mailing Address |
18614 Jackson Street Po Box 125 Hermitage MO 65668 |
| Practice Telephone | 4173267272 |
| Practice Fax Number | 4173262193 |
| Mailing Telephone | 4177452121 |
| Mailing Fax Number | 4177450056 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2020012746 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1100 SOUTH SPRINGFIELD AVE SUITE B |
| City | BOLIVAR |
| State | MO |
| Zip Code | 65613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340547 | William Everett Hafer | Social Worker | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301552 | Casablanca Care Center, LLC | Home Health | 524 S. Albany Avenue, Bolivar, MO 65613 | 2020-09-18 |
| 1669087045 | Revive Medical LLC | Durable Medical Equipment & Medical Supplies | 5000, S Scenic, Bolivar, MO 65613 | 2020-09-11 |
| 1932754744 | Caitlin M Williams | Specialist/Technologist | 1260 S Pike Avenue, Bolivar, MO 65613 | 2019-08-08 |
| 1073022406 | Jacquelyn Rose Kemnic | Dietitian, Registered | Heart Center, 1500 N Oakland Ave, Willard, MO 65613 | 2017-09-28 |
| 1164897161 | Ozarks Resource Group | Clinic/Center | 203 E. Broadway St., Bolivar, MO 65613 | 2015-12-02 |
| 1962895292 | Professional Christian Counseling | Counselor | 4888 S 139th Road, Bolivar, MO 65613 | 2015-03-11 |
| 1073916573 | Scott Leslie Dennis | Physician Assistant | 1500 North Oakland Ave, Citizens Memorial Hospital, Bolivar, MO 65613 | 2014-09-29 |
| 1053712109 | Citizens Memorial Hospital District | Pharmacy | 1301-b North Oakland, Bolivar, MO 65613 | 2014-09-09 |
| 1740680453 | Jamee M Stimpson | Occupational Therapist | 454 S. Main Avenue, Bolivar, MO 65613 | 2014-08-29 |
| 1154761948 | Motor Monkeys LLC | Occupational Therapist | 454 S Main Ave, Bolivar, MO 65613 | 2013-06-26 |
| Find all providers in zip 65613 | ||||
| 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 |
|---|---|---|---|---|
| 1720639172 | Shanna Shackelford | Nurse Practitioner | 11100 Old Hwy 64 W, Bolivar, TN 38008 | 2019-09-26 |
| 1336793629 | Judy Beauregard Allen | Nurse Practitioner | 606 S Union St, Bolivar, TN 38008-2804 | 2019-07-25 |
| 1558856609 | Mid South Psych Services, Pllc | Nurse Practitioner | 206 Stevens Rd, Bolivar, TN 38008-1120 | 2018-06-29 |
| 1326595919 | Ashley Evon Jowers | Nurse Practitioner | 11100 Old Hwy 64 West, Bolivar, TN 38008 | 2016-09-01 |
| 1417902305 | Northwoods Psychiatric Services Inc | Nurse Practitioner | 1100 S Springfield Ave Ste B, Bolivar, MO 65613-2512 | 2006-05-23 |
| 1245864685 | Lindsey Hendrix Cook | Nurse Practitioner | 10710 Old Highway 64, Bolivar, TN 38008-3587 | 2020-02-25 |
| 1578101499 | Merry Anna Snider | Nurse Practitioner | 629 Nuckolls Rd, Bolivar, TN 38008-1599 | 2019-12-11 |
| 1750345856 | Hilda Jean Buckles | Nurse Practitioner | 714 N Pomme De Terre Ave, Bolivar, MO 65613-1241 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1376152546 | Chijioke Francisca Mbah | Nurse Practitioner | 900 Sw 33rd St, Lees Summit, MO 64082-4191 | 2020-07-23 |
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1639796766 | Courtney Paige Schult | Nurse Practitioner | 431 Stonewater Dr, Pevely, MO 63070-3210 | 2020-07-06 |
| 1912524059 | Farah Lynn Shaddix | Nurse Practitioner | 1103 Warm Winds Dr, O Fallon, MO 63366-6327 | 2020-07-05 |
| 1215551973 | Nicole Lynn Parker | Nurse Practitioner | 1000 Jackson St Apt 1, Saint Charles, MO 63301-2676 | 2020-05-28 |
| 1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
| 1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
| 1063044626 | Beatriz Fortaleza | Nurse Practitioner | 2305 South 65 Highway, Bldg A., Marshall, MO 65340-3702 | 2020-02-11 |
| 1477184299 | Treacy Williams | Nurse Practitioner | 851 E 5th St Ste 308, Washington, MO 63090-3130 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
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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.