MELANIE MOBLEY (NPI# 1831647262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831647262 |
| Entity Type | Individual |
| Full Name | MELANIE MOBLEY |
| Credential | AGPCNP |
| Practice Address |
210 Ne Tudor Rd Lees Summit MO 64086-5696 |
| Mailing Address |
Po Box 5 Doniphan MO 63935-0005 |
| Practice Telephone | 8882563814 |
| Practice Fax Number | 8882569054 |
| Mailing Telephone | 5739964017 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
2016029751 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
210 NE TUDOR RD |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-5696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013905520 | Robert Francis Dorsey | Family Medicine | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2005-10-10 |
| 1992324370 | Chasidy Darnell | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2020-04-15 |
| 1447801493 | Hollie Meyer | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2019-09-21 |
| 1679134423 | Laura Naomi Miller | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2019-06-24 |
| 1356803688 | Dana Michelle Denson | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2019-04-04 |
| 1376033027 | Heather Louise Parrish | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086 | 2018-05-17 |
| 1811405525 | Jennifer Radcliff | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2018-01-16 |
| 1164942694 | Jessica Crocker | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2017-06-26 |
| 1780117952 | Valicia Kay Kirby | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2017-04-05 |
| 1659819688 | James Burrow Jr. | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2017-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063956910 | Denise Frances Flynn | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2016-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632932 | Rebecca Theresa Medlock | Nurse Practitioner | 736 Marco Valley Ct, Fenton, MO 63026-5318 | 2020-06-05 |
| 1083233274 | Gina Hart | Nurse Practitioner | 12101 Woodcrest Executive Dr Ste 102, Saint Louis, MO 63141-5047 | 2020-04-08 |
| 1215569512 | Nicole M Wikoff | Nurse Practitioner | 12415 Hickory Grove Ln, Saint Louis, MO 63146-3907 | 2020-02-05 |
| 1124658257 | Amadu Barrie | Nurse Practitioner | 134 Midland Avenue, Maryland Heights, MO 63043 | 2020-01-16 |
| 1922569995 | Sarah Regan | Nurse Practitioner | 1031 Bellevue Ave Ste 100, Saint Louis, MO 63117-1855 | 2019-03-30 |
| 1437615044 | Ashley M Berneking | Nurse Practitioner | 4122 Keaton Crossing Blvd Ste 102, O Fallon, MO 63368-8219 | 2019-02-19 |
| 1174094072 | Michelle Kay Bank | Nurse Practitioner | 12409 Roth Hill Dr, Maryland Heights, MO 63043-2941 | 2018-12-17 |
| 1861968612 | Nasir Gebi | Nurse Practitioner | 603 E Minor Dr Apt 202, Kansas City, MO 64131-3688 | 2018-10-19 |
| 1457839573 | Robert Claude Kamtio Kamgoum | Nurse Practitioner | 406 W 34th St Ste 428, Kansas City, MO 64111-3113 | 2018-07-31 |
| 1639613813 | University of Missouri | Nurse Practitioner | 1100 Virginina Ave, Columbia, MO 65212-0001 | 2016-12-07 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
Please comment or provide details below to improve the information on MELANIE MOBLEY.
| 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.