MELINDA A DOUGLAS (NPI# 1679845192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679845192 |
| Entity Type | Individual |
| Full Name | MELINDA A DOUGLAS |
| Credential | CRNP |
| Practice Address |
1330 W 26th St Erie PA 16508-1402 |
| Practice Telephone | 8144599300 |
| Mailing Telephone | 8144599300 |
| Mailing Fax Number | 8144599300 |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2019-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP011406 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP011406 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1330 W 26TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16508-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134100258 | Mandy Ann Fauble | Social Worker | 1330 W 26th St, Erie, PA 16508-1402 | 2005-11-07 |
| 1629675947 | Lynne Ann Heath | Nurse Practitioner | 1330 W 26th St, Erie, PA 16508-1402 | 2020-10-08 |
| 1093328965 | Jessica Revell | Social Worker | 1330 W 26th St, Erie, PA 16508-1402 | 2020-08-28 |
| 1588281976 | Alyssa Ann Mineo | Psychologist | 1330 W 26th St, Erie, PA 16508-1402 | 2020-07-01 |
| 1164045977 | Jessica Frick | Counselor | 1330 W 26th St, Erie, PA 16508-1402 | 2020-05-27 |
| 1487280665 | Keri Ann Walker | Counselor | 1330 W 26th St, Erie, PA 16508-1402 | 2020-03-19 |
| 1558991190 | Patricia Irene Yurkewicz | Counselor | 1330 W 26th St, Erie, PA 16508-1402 | 2020-01-23 |
| 1669002895 | Katie Depanfilis | Counselor | 1330 W 26th St, Erie, PA 16508-1402 | 2020-01-15 |
| 1518506716 | Safe Harbor Behavioral Health of Upmc Hamot | Clinic/Center | 1330 W 26th St, Erie, PA 16508-1402 | 2020-01-06 |
| 1003453234 | Katelynne Hankins | Counselor | 1330 W 26th St, Erie, PA 16508-1402 | 2019-12-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417486705 | Robert Vance Danielson IIi | Specialist/Technologist | 3527 Maple St., Erie, PA 16508 | 2017-06-08 |
| 1336670785 | Judith Shaffer | Social Worker | 213 Gridley Ave, Erie, PA 16508 | 2017-03-27 |
| 1407253859 | Dr Natalie Teygart PC | Family Medicine | 939 West 38th St, Erie, PA 16508 | 2014-12-01 |
| 1417371311 | Psychological Health Services | Counselor | 956 West 38th Street, Erie, PA 16508 | 2014-02-12 |
| 1518210699 | Deerfield Behavioral Health, Inc. | Counselor | 2808 State Street, Erie, PA 16508 | 2012-10-26 |
| 1851675243 | Nutrition and Healing Center, Inc. | Chiropractor | 1455 West 38th Street, Suite 2, Erie, PA 16508 | 2011-10-04 |
| 1659659415 | Patricia Luisa Palotas | Counselor | 2170 West 32nd, Affinity Family Services, Inc, Erie, PA 16508 | 2011-07-28 |
| 1841581808 | Melissa M Wilson | Dietitian, Registered | 23 West 41st Street, Erie, PA 16508 | 2011-04-26 |
| 1649599374 | Amber A Kridler | Chiropractor | 1334 W. 26th St, Erie, PA 16508 | 2010-05-20 |
| 1023256427 | Christine Williamson | Occupational Therapist | 10 Summit Street, Erie, PA 16508 | 2009-01-23 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780127027 | Dustin T Schumacher | Nurse Practitioner | 100 Peach St Ste 201, Erie, PA 16507-1423 | 2016-11-18 |
| 1316499973 | Angel F Sunafrank | Nurse Practitioner | 300 State St Ste 400a, Erie, PA 16507-1478 | 2016-10-31 |
| 1750670006 | Therese Raymonde Christiansen | Nurse Practitioner | 333 State St Ste 400a, Erie, PA 16507-1450 | 2011-04-06 |
| 1679806616 | Laura Jane Merriott | Nurse Practitioner | 4402 Peach St., Suite 302, Erie, PA 16509 | 2009-09-09 |
| 1902046501 | Denise Joanne Pero | Nurse Practitioner | 271 Edgewater Cir, Erie, PA 16509-3785 | 2009-02-23 |
| 1295917177 | Kathy S Foltz | Nurse Practitioner | 1843 East 18th Street, Multicultural Health Evaluation Delivery Systems Inc, Erie, PA 16510 | 2007-12-03 |
| 1598715849 | Carol A Hager | Nurse Practitioner | 300 State St Ste 107, Erie, PA 16507-1428 | 2006-05-10 |
| 1639139645 | Mary Alice Mcginnis | Nurse Practitioner | 1700 Peach St Ste 200, Erie, PA 16501-2134 | 2006-03-24 |
| 1720069206 | Paul J Dill | Nurse Practitioner | 1910 Sassafras St Ste 200, Erie, PA 16502-2716 | 2005-11-10 |
| 1053304998 | Mary Kathleen Ditullio | Nurse Practitioner | 17 Merline Ave, Erie, PA 16509-1567 | 2005-08-25 |
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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.