MELISSA BOLLES (NPI# 1699234609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699234609 |
| Entity Type | Individual |
| Full Name | MELISSA BOLLES |
| Practice Address |
12700 Whitewater Dr Minnetonka MN 55343-9438 |
| Practice Telephone | 6122892385 |
| Practice Fax Number | 8448975371 |
| Mailing Telephone | 6122892385 |
| Mailing Fax Number | 8448975371 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
6493 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 26219 150th St Nw, Zimmerman, MN 553988319 | 6122476014 |
| Street Address |
12700 WHITEWATER DR |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55343-9438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164896379 | Brooke Johnson | Nurse Practitioner | 12700 Whitewater Dr, Minnetonka, MN 55343-9438 | 2015-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689230542 | Madison C Korus | Behavior Technician | 5501 Feltl Road, Minnetonka, MN 55343 | 2019-05-16 |
| 1942708508 | Teammd Physicians of Texas Inc | Case Manager/Care Coordinator | 9900 Bren Rd E # 8-b217, Minnetonka, MN 55343 | 2018-01-30 |
| 1659899284 | Midwest Medical Transit | Transportation Broker | 1001 Main Street #125, Hopkins, MN 55343 | 2017-09-04 |
| 1376070367 | Noor Translation and Interpretation Services LLC | Interpreter | 5620 Smetana Drive, Ste 300, Office D, Minnetonka, MN 55343 | 2017-05-22 |
| 1871043240 | Katherine Rae Skarphol | Speech-Language Pathologist | 5501 Feltl Rd, Hopkins, MN 55343 | 2016-10-10 |
| 1215481478 | Safi Care Transportation | Non-emergency Medical Transport (VAN) | 1001 Mainstreet, Ste 125, Hopkins, MN 55343 | 2016-08-05 |
| 1649723420 | Stephanie Stackhouse | Internal Medicine | 5520 Bristol Lane, Minnetonka, MN 55343 | 2016-07-28 |
| 1023479706 | Counter Point Recovery | Substance Abuse Rehabilitation Facility | 5022 Baker Rd, Minnetonka, MN 55343 | 2016-03-09 |
| 1851766356 | Enrique Mendoza Rojas | Nurse Practitioner | 9900 Ben Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2015-12-09 |
| 1013307230 | Susanna Monroe | Nurse Practitioner | Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 | 2015-01-26 |
| Find all providers in zip 55343 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164896379 | Brooke Johnson | Nurse Practitioner | 12700 Whitewater Dr, Minnetonka, MN 55343-9438 | 2015-11-25 |
| 1649446246 | Leigh Hammond | Nurse Practitioner | 9900 Bren Road East Mail Route Mn 008-b213, Minnetonka, MN 55343-9664 | 2008-05-02 |
| 1902894348 | Suzanne M Oliver | Nurse Practitioner | 401 Carlson Pkwy, Mail Route Cp320, Minnetonka, MN 55305-5359 | 2005-10-10 |
| 1689148942 | Vanessa Ann Figueroa | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2019-01-18 |
| 1083184709 | Leah Rose Brown | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2018-11-26 |
| 1699241752 | Kim B Lackey | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2018-10-16 |
| 1487135059 | Ada Y. Martinez | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2018-08-22 |
| 1720585326 | Amy Marie Ringwald | Nurse Practitioner | 401 Carlson Pkwy, Minnetonka, MN 55305-5359 | 2018-04-10 |
| 1497268429 | Erin Watts | Nurse Practitioner | 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343-1357 | 2017-11-13 |
| 1174058531 | Patre D Williams | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2017-04-24 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55343 |
Please comment or provide details below to improve the information on MELISSA BOLLES.
| 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.