MELODY J LEISY (NPI# 1821647611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821647611 |
| Entity Type | Individual |
| Full Name | MELODY J LEISY |
| Credential | APRN |
| Practice Address |
1313 S St Bridgeport NE 69336-2563 |
| Practice Telephone | 3082621616 |
| Mailing Telephone | 3082621616 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 112888 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1313 S ST |
| City | BRIDGEPORT |
| State | NE |
| Zip Code | 69336-2563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730109075 | Morrill County Community Hospital | Clinic/Center | 1313 S St, Ste A, Bridgeport, NE 69336-2563 | 2006-07-20 |
| 1437780020 | Poudre Valley Medical Group, LLC | Internal Medicine | 1313 S St, Bridgeport, NE 69336-2563 | 2020-02-01 |
| 1730720533 | Kimberly R Smith | Nurse Practitioner | 1313 S St, Bridgeport, NE 69336-2563 | 2019-10-02 |
| 1568820900 | Amber E Malcolm | Nurse Practitioner | 1313 S St, Bridgeport, NE 69336-2563 | 2016-01-31 |
| 1639583321 | Mansoor Ahmad | Family Medicine | 1313 S St, Bridgeport, NE 69336-2563 | 2014-06-20 |
| 1639449333 | Carrie C Martinson | Specialist | 1313 S St, Bridgeport, NE 69336-0579 | 2012-01-11 |
| 1396961645 | Morrill County Community Hospital | Internal Medicine | 1313 S St, Ste A, Bridgeport, NE 69336-2563 | 2007-04-17 |
| 1740399468 | Diane E. Gilles | Orthopaedic Surgery | 1313 S St, Bridgeport, NE 69336-2563 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477608610 | Alliance Vision Source, P.C. | Optometrist | 921 Main Street, Bridgeport, NE 69336 | 2007-01-25 |
| 1497816680 | J & J Nein LLC | Pharmacy | 1012 Main St, Bridgeport, NE 69336 | 2006-12-12 |
| 1790977148 | Shawn Michael Berry | Physical Therapy Assistant | 505 Q St, Heritage of Bridgeport, Bridgeport, NE 69336-0081 | 2007-08-09 |
| 1093088155 | Amy Dawn Craig | Licensed Practical Nurse | 1014 N St, Bridgeport, NE 69336-0101 | 2012-02-20 |
| 1154433068 | James David Nein | Pharmacist | 1013 Main St, Bridgeport, NE 69336-0141 | 2006-08-31 |
| 1356420806 | Christensen Chiropractic Clinic, P.C. | Clinic/Center | 805 Main Street, Bridgeport, NE 69336-0759 | 2006-11-03 |
| 1184835183 | Sam F. Jacoby | Dentist | 1006 Main Street, Bridgeport, NE 69336-0864 | 2007-05-24 |
| 1003260126 | Lisa Lussetto | Speech-Language Pathologist | 800 Q St, Bridgeport, NE 69336-2519 | 2016-04-14 |
| 1114572377 | Brittany Beth Norman | Registered Nurse | 800 Q St, Bridgeport, NE 69336-2519 | 2019-08-05 |
| 1356821276 | Sarah Nicole Brenner | Physical Therapist | 800 Q St, Bridgeport, NE 69336-2519 | 2018-08-20 |
| Find all providers in zip 69336 | ||||
| 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 |
|---|---|---|---|---|
| 1871119081 | Brittney Vargo | Nurse Practitioner | 71480 Sharon Rd, Bridgeport, OH 43912-7725 | 2020-06-23 |
| 1760007843 | Stephanie Jaser | Nurse Practitioner | 2660 Main St Ste 219, Bridgeport, CT 06606-5301 | 2020-06-14 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1730383563 | Ags Inc | Nurse Practitioner | 164 Thompson Dr, Bridgeport, WV 26330-1644 | 2007-06-14 |
| 1407876543 | Laurie A Haydu | Nurse Practitioner | 211 State St, Bridgeport, CT 06604-4808 | 2006-07-20 |
| 1194727172 | Marleena Dimaggio | Nurse Practitioner | 82 George St, Bridgeport, CT 06604-3315 | 2005-08-10 |
| 1255939880 | Ashley Weaver | Nurse Practitioner | 6940 Dixie Hwy, Bridgeport, MI 48722-9760 | 2020-10-15 |
| 1164030565 | Alyssa Garza | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-21 |
| 1427674548 | Cassandra Esposito | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-06-24 |
| 1447898861 | Gustavo David Herrera-brito | Nurse Practitioner | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2019-12-16 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 69336 |
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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.