MS. MELISSA LYNN HARTWELL (NPI# 1770764789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770764789 |
| Entity Type | Individual |
| Full Name | MS. MELISSA LYNN HARTWELL |
| Credential | PA-C |
| Practice Address |
603 Campus Dr Suite 100 Abingdon VA 24210-9700 |
| Practice Telephone | 2767398010 |
| Practice Fax Number | 2766251410 |
| Mailing Telephone | 2767398010 |
| Mailing Fax Number | 2766251410 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2017-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1625 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110002632 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1770764789 | 05 | |
| TN | 1509053 | 05 |
| Street Address |
603 CAMPUS DR SUITE 100 |
| City | ABINGDON |
| State | VA |
| Zip Code | 24210-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255300109 | Douglas David Dalton II | Physician Assistant | 603 Campus Dr, Suite 100, Abingdon, VA 24210-9700 | 2006-03-14 |
| 1326462805 | Daniel Farmer | Nurse Practitioner | 603 Campus Dr, Suite 100, Abingdon, VA 24210-9700 | 2014-02-05 |
| 1770864670 | Blue Ridge Medical Management Corporation | Clinic/Center | 603 Campus Dr, Suite 100, Abingdon, VA 24210-9700 | 2011-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184192890 | Clinton Samuel Steve Webb | Nurse Practitioner | 406 W Main St Ste 100, Abingdon, VA 24210 | 2018-11-12 |
| 1528565801 | Crossroads Treatment Center of Petersburg, PC | Clinic/Center | 301 Falls Dr Nw Ste 353, Abingdon, VA 24210 | 2018-04-12 |
| 1780189035 | Vickie Lynne Beam | Speech-Language Pathologist | Washington County Public Schools, 812 Thompson Drive, Abingdon, VA 24210 | 2018-03-28 |
| 1093235814 | Meagan R Compton | Speech-Language Pathologist | 18596 Lee Hwy Suite B, Abingdon, VA 24210 | 2017-06-22 |
| 1710433404 | Highlands Community Pharmacy Inc | Pharmacy | 16400 Jeb Stuart Highway, Abingdon, VA 24210 | 2016-09-01 |
| 1548632417 | Lauren Irene Esposito | Audiologist | 319 Falls Drive, Abingdon, VA 24210 | 2015-10-30 |
| 1073909784 | Michael Justice | Pharmacist | 1 Food City Circle, Abingdon, VA 24210 | 2015-04-09 |
| 1245574177 | Watauga Medical Group | Family Medicine | 300 Valley St, Ne, Abingdon, VA 24210 | 2012-11-15 |
| 1083908883 | Kimberly Regina Mullins | Occupational Therapy Assistant | 17575 Havens Rest Rd., Abingdon, VA 24210 | 2011-06-09 |
| 1902131170 | Sara Jeannette Creekmore | Family Medicine | 328-a Cummings St., Abingdon, VA 24210 | 2009-10-06 |
| Find all providers in zip 24210 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841694726 | Heather Rosario | Physician Assistant | 100 Walter Ward Blvd Ste 100, Abingdon, MD 21009-1283 | 2014-10-21 |
| 1174926695 | Rabia Qutubuddin | Physician Assistant | 176 Valley St Nw, Abingdon, VA 24210-2859 | 2014-09-29 |
| 1174924922 | Travis Patton | Physician Assistant | 16000 Johnston Memorial Dr, Suite 100, Abingdon, VA 24211-7664 | 2014-09-11 |
| 1962803361 | Lydia Novruzov | Physician Assistant | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7664 | 2014-09-04 |
| 1962838607 | Bethany Elyse Kane | Physician Assistant | 3445 Box Hill Corporate Center Dr, Abingdon, MD 21009-1223 | 2013-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638986 | Courtney Anne Kassner | Physician Assistant | 2706 Davis Ave, Alexandria, VA 22302-2817 | 2020-08-06 |
| 1295356145 | Nilofar Ariasaif | Physician Assistant | 15401 Bald Eagle Ln, Woodbridge, VA 22191-3782 | 2020-05-01 |
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1679102347 | Mary Herrera | Physician Assistant | 6353 Center Dr Ste 204, Norfolk, VA 23502-0001 | 2020-04-05 |
| 1720614019 | Andrew James Meyers | Physician Assistant | 229 W Bute St Apt 207, Norfolk, VA 23510-1415 | 2020-03-18 |
| 1902432644 | Madison Alexis Cooper | Physician Assistant | 920 Battlefield Blvd S Ste 101, Chesapeake, VA 23322-4254 | 2020-03-13 |
| 1285296111 | Kimberly Stewart Hugo | Physician Assistant | 10932 Point Grey Road, Henrico, VA 23233-2429 | 2019-07-01 |
| 1558824698 | Jessica Leigh Pacuch | Physician Assistant | 2440 Raphine Rd, Raphine, VA 24472-2541 | 2019-04-06 |
| 1073074431 | Nicholas Alexander Jones | Physician Assistant | 924 Parley Pl, Chesapeake, VA 23323-4135 | 2019-03-28 |
| 1003371410 | Ryan Timothy Pyles | Physician Assistant | 25 Commerce Park Drive, Raphine, VA 24472 | 2019-02-11 |
| 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.