MELISSA SPENCE (NPI# 1891068003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891068003 |
| Entity Type | Individual |
| Full Name | MELISSA SPENCE |
| Other Name | MELISSA MIXON |
| Credential | PA-C |
| Practice Address |
3030 Childrens Way Suite 402 San Diego CA 92123-4232 |
| Mailing Address |
3020 Childrens Way Mc 5024 San Diego CA 92123-4223 |
| Practice Telephone | 8589667701 |
| Mailing Telephone | 8589667701 |
| Enumeration Date | 2012-02-18 |
| Last Update Date | 2014-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA21895 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073081931 | Melissa Spence | Peer Specialist | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2018-11-08 |
| 1609225846 | Melissa Spence | Counselor | 200 Renaissance Dr, Ste 301, Butler, PA 16001-7612 | 2016-06-08 |
| Street Address |
3030 CHILDRENS WAY SUITE 402 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-4232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144229600 | Charles Douglas Wallace | Orthopaedic Surgery | 3030 Childrens Way, Ste 410, San Diego, CA 92123-4232 | 2005-07-18 |
| 1841808854 | Lorri A. Kais | Clinical Neuropsychologist | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-07-15 |
| 1114541760 | Samantha Barbara Nigrelli | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-05-29 |
| 1134755630 | Sara J. Fligelman | Psychologist | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-03-16 |
| 1316571367 | Kayleigh M. Prowse | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-02-28 |
| 1639649239 | Kimberly Charlotte Padilla | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123 | 2018-11-27 |
| 1568953172 | Elizabeth Williams Smith | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123-4232 | 2018-05-21 |
| 1083132260 | Eve U. Nguyen | Psychologist | 3030 Childrens Way, San Diego, CA 92123-4232 | 2017-09-07 |
| 1659893295 | Ronak Rahmanian | Otolaryngology | 3030 Childrens Way, San Diego, CA 92123-4232 | 2017-07-14 |
| 1689048530 | Carie Truong Lam | Physician Assistant | 3030 Childrens Way, San Diego, CA 92123-4232 | 2015-11-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528610870 | Josephine Hoa Ngoc Mai | Physician Assistant | 3050 Rue Dorleans Unit 291, San Diego, CA 92110-5904 | 2019-07-16 |
| 1962966309 | Tashina Jessica Kraintz | Physician Assistant | 10431 Caminito Alvarez, San Diego, CA 92126-5838 | 2019-01-30 |
| 1801314042 | Erika Dimitra Couris | Physician Assistant | 3969 Fourth Ave, #301, San Diego, CA 92103-9210 | 2017-09-08 |
| 1871859421 | Lisa Nakhleh Boyd | Physician Assistant | 2999 Health Center Drive, San Diego, CA 92123 | 2012-04-09 |
| 1760759104 | Brandon William Schroth | Physician Assistant | 357051 Nasni, Commander Naval Air Forces, San Diego, CA 92135-7051 | 2011-11-30 |
| 1891080750 | Jennifer K Nguyen | Physician Assistant | 1466 Mariposa Street, San Diego, CA 92114-3612 | 2011-06-17 |
| 1942510698 | Laurie Anne Reeves | Physician Assistant | 6367 Alvardo Ct., Suite #200, San Diego, CA 92120 | 2010-10-15 |
| 1568783108 | Monica Gable | Physician Assistant | 2929 Health Center Dr., San Diego, CA 92123-7741 | 2010-06-17 |
| 1932422698 | Debbie Lo Flores | Physician Assistant | 5030 Camino De La Siesta Ste 204, San Diego, CA 92108-3118 | 2010-03-10 |
| 1801125034 | Lindsey R Hayes | Physician Assistant | Quentin Roosevelt Blvd, Building 8, San Diego, CA 92135-7051 | 2009-12-17 |
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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.