MS. MELISSA OVALLES TEJADA (NPI# 1801172598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801172598 |
| Entity Type | Individual |
| Full Name | MS. MELISSA OVALLES TEJADA |
| Other Name | MS. MELISSA OVALLES |
| Credential | FNP |
| Practice Address |
1350 S Eliseo Dr Suite 130 Greenbrae CA 94904-2011 |
| Practice Telephone | 4159256900 |
| Mailing Telephone | 4159256900 |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2012-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
766077 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN LICENSE | 766077 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477054187 | Melissa Tejada | Counselor | 623 W Southern Ave Ste 7, Mesa, AZ 85210-5022 | 2018-02-27 |
| 1811259708 | Melissa P. Tejada | Student in an Organized Health Care Education/Training Program | 2525 S Michigan Ave, Chicago, IL 60616-2477 | 2012-06-15 |
| Street Address |
1350 S ELISEO DR SUITE 130 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225037500 | John Bettinger | Internal Medicine | 1350 S Eliseo Dr, Ste 130, Greenbrae, CA 94904-2011 | 2005-07-19 |
| 1679127716 | Crystal Ann Brierton | Speech-Language Pathologist | 1350 S Eliseo Dr, Greenbrae, CA 94904-2011 | 2019-07-26 |
| 1841705399 | David Fonseca Tapia | Emergency Medical Technician, Basic | 1350 S Eliseo Dr, Greenbrae, CA 94904-2011 | 2017-12-06 |
| 1538595905 | Julie Ilene Nicholson | Counselor | 1350 S Eliseo Dr, Suite 220, Greenbrae, CA 94904-2011 | 2013-09-17 |
| 1205271483 | Laury Rappaport | Marriage & Family Therapist | 1350 S Eliseo Dr, Suite 120, Greenbrae, CA 94904-2011 | 2013-05-01 |
| 1407192438 | Amy Jeanne Holm | Nurse Practitioner | 1350 S Eliseo Dr, Suite 130, Greenbrae, CA 94904-2011 | 2012-12-19 |
| 1073892717 | Prima Medical Foundation | Surgery | 1350 S Eliseo Dr, #210, Greenbrae, CA 94904-2011 | 2011-08-11 |
| 1629370499 | Marin Cancer Care, Inc. | Radiology | 1350 S Eliseo Dr, Suite 200, Greenbrae, CA 94904-2011 | 2010-11-29 |
| 1376867010 | Christopher Hogan | Internal Medicine | 1350 S Eliseo Dr, Suite 130, Greenbrae, CA 94904-2011 | 2010-03-24 |
| 1346497658 | Kirsten Wilson Ellis | Nurse Practitioner | 1350 S Eliseo Dr, Ste 130, Greenbrae, CA 94904-2011 | 2008-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972150886 | Jessica Zheng | Nurse Practitioner | 1000 S Eliseo Dr # 101, Greenbrae, CA 94904-2133 | 2019-08-25 |
| 1134602667 | Amy Blevins | Nurse Practitioner | 1300 S Eliseo Dr Ste 101, Greenbrae, CA 94904-2014 | 2018-09-11 |
| 1861944811 | Nicole Stanton Mott | Nurse Practitioner | 206 Bon Air Ctr, Greenbrae, CA 94904-2416 | 2016-10-25 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1528331212 | Barbara Wyeth | Nurse Practitioner | 1341 S Eliseo Dr Ste 200, Greenbrae, CA 94904-2000 | 2012-02-11 |
| 1588106579 | Jessica Hovatter | Nurse Practitioner | 1100 S Eliseo Dr, Suite 1, Greenbrae, CA 94904-2017 | 2016-11-08 |
| 1720462732 | Thomas Desnoyers | Nurse Practitioner | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2015-07-20 |
| 1144583238 | Terese Tatum | Nurse Practitioner | 350 Bon Air Ctr, Suite 200, Greenbrae, CA 94904-3000 | 2012-06-22 |
| 1033356696 | Deborah Anne Weber | Nurse Practitioner | 900 S Eliseo Dr Ste 202, Greenbrae, CA 94904-2153 | 2009-01-18 |
| 1346497658 | Kirsten Wilson Ellis | Nurse Practitioner | 1350 S Eliseo Dr, Ste 130, Greenbrae, CA 94904-2011 | 2008-08-19 |
| Find all providers in GREENBRAE | ||||
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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.