MELISSA D JOHNSON (NPI# 1710231139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710231139 |
| Entity Type | Individual |
| Full Name | MELISSA D JOHNSON |
| Other Name | MELISSA D MCBRYDE |
| Credential | PA |
| Practice Address |
4941 N Towne Centre Dr Ozark MO 65721-8280 |
| Practice Telephone | 4175514810 |
| Practice Fax Number | 4175514818 |
| Mailing Telephone | 4175514810 |
| Mailing Fax Number | 4175514818 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
201703363 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1710231139 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946216 | Melissa Marie Johnson | Counselor | 9 Vose Avenue, South Orange, NJ 07079 | 2020-09-15 |
| 1720626047 | Melissa Johnson | Pharmacist | 5313 Paulsen St, Savannah, GA 31405-4800 | 2019-12-17 |
| 1528523867 | Melissa A. Johnson | Nurse Practitioner | 190 Jack Martin Blvd Bldg B3, Brick, NJ 08724-7728 | 2019-01-31 |
| 1144736893 | Melissa D Johnson | Occupational Therapy Assistant | 12610 Taylorwood Ln, Houston, TX 77070-5146 | 2017-12-18 |
| 1295245702 | Melissa Johnson | Counselor | 417 Biltmore Ave Ste 4b, Asheville, NC 28801-4541 | 2017-10-10 |
| 1144768748 | Melissa Johnson | Specialist/Technologist | 9717 W Kuse Rd, Frankfort, IL 60423-8003 | 2017-02-03 |
| 1871049379 | Melissa Johnson | Counselor | 12626 Forest Rd, Huntsburg, OH 44046-9737 | 2016-08-25 |
| 1326490020 | Melissa Lynn Johnson | Speech-Language Pathologist | 4104 S Grand Blvd, Spokane, WA 99203-2807 | 2016-07-06 |
| 1720450307 | Melissa Johnson | Registered Nurse | 4836 E Williams Dr, Phoenix, AZ 85054-6169 | 2015-10-22 |
| 1164892097 | Melissa Marie Johnson | Counselor | 793 Old Route 119 Hwy. N., Indiana, PA 15701-1372 | 2015-10-05 |
| Street Address |
4941 N TOWNE CENTRE DR |
| City | OZARK |
| State | MO |
| Zip Code | 65721-8280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467660 | Lester L Conduff | Family Medicine | 4941 N Towne Centre Dr, Ozark, MO 65721-8280 | 2005-06-15 |
| 1477905933 | Kristina Amber Ennis | Nurse Practitioner | 4941 N Towne Centre Dr, Ozark, MO 65721-8280 | 2016-07-08 |
| 1770850794 | Ozarks Family Health LLC | Family Medicine | 4941 N Towne Centre Dr, Ozark, MO 65721-8280 | 2011-11-18 |
| 1013229251 | Angela R. Limpus | Nurse Practitioner | 4941 N Towne Centre Dr, Ozark, MO 65721-8280 | 2010-07-03 |
| 1780686196 | Marsha A Taylor | Family Medicine | 4941 N Towne Centre Dr, Ozark, MO 65721-8280 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063054880 | Ramya Sravani Pakala | Family Medicine | 5571 N. 21st St., Ozark, MO 65721 | 2019-10-14 |
| 1871073346 | Regional Services | Nurse Practitioner | 1350 W Bluff Dr, Ozark, MO 65721 | 2018-08-15 |
| 1932602125 | Clarence William Jaggard Jr. | Family Medicine | Ozark Valley Medical Clinic 5571 N. 21st St., Ozark, MO 65721 | 2018-03-14 |
| 1053826750 | Veronica Keller | Speech-Language Pathologist | 3608 N. Highway Nn, Ozark, MO 65721 | 2017-12-05 |
| 1124546304 | Kara Nicole Peterson | Speech-Language Pathologist | 302 N 4th Ave., Ozark, MO 65721 | 2017-09-07 |
| 1912391368 | Mobile X-ray Services, LLC | Clinic/Center | 3050 N. 20th Street, Ozark, MO 65721 | 2015-03-24 |
| 1073787289 | Melissa Milan | Counselor | 332 South 3rd Street, Ozark, MO 65721 | 2008-04-17 |
| 1306038948 | Preferred Hospice of Missouri Southwest LLC | Hospice Care, Community Based | 1567 West Diane, Suite B, Ozark, MO 65721 | 2007-08-17 |
| 1508073040 | Retirement At Century Pines Inc. | Assisted Living Facility | 709 E. Mccracken, Ozark, MO 65721 | 2007-05-16 |
| 1184844482 | Ozark Medical Imaging Center | Radiology | 1500 W State Hwy J, Ozark, MO 65721 | 2007-04-27 |
| Find all providers in zip 65721 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962420802 | Cynthia N Dancey | Physician Assistant | 5548 N Farmer Branch Rd, Ozark, MO 65721-5315 | 2006-07-18 |
| 1306868781 | Sarah B Fast | Physician Assistant | 5548 N Farmer Branch Rd, Ozark, MO 65721-5315 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922628528 | Sarah Benson | Physician Assistant | 26791 Andrews Ln, Warrenton, MO 63383-6240 | 2020-04-23 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1912538752 | Karen Anghel | Physician Assistant | 804 S Kisner Dr, Independence, MO 64056-3062 | 2020-01-30 |
| 1457822082 | Jwan Alallaf | Physician Assistant | 4121 Roanoke Rd Apt 18, Kansas City, MO 64111-4053 | 2018-12-07 |
| 1730602921 | Saurav N Kayastha | Physician Assistant | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2017-07-19 |
| 1891227393 | Hollis Smith | Physician Assistant | 2015 Maplewood Commons Dr, Saint Louis, MO 63143-1003 | 2017-04-03 |
| 1992165104 | Cassie Mcgee | Physician Assistant | 1051 Jones St, Kennett, MO 63857-3866 | 2016-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| 1699084814 | Travis James Weiss | Physician Assistant | 6724 State Highway 77, Benton, MO 63736-8238 | 2010-10-05 |
| 1235453150 | James F Patton | Physician Assistant | 913 South St, Stockton, MO 65785-9381 | 2010-03-22 |
| 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.