MELODEE B THACKER (NPI# 1912350513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912350513 |
| Entity Type | Individual |
| Full Name | MELODEE B THACKER |
| Credential | APRN |
| Practice Address |
8991 Ohio River Rd Wheelersburg OH 45694-1923 |
| Mailing Address |
5900 Route Us 60 W Suite B Ashland KY 41102 |
| Practice Telephone | 7407167086 |
| Mailing Telephone | 6063935586 |
| Mailing Fax Number | 6069285547 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
1145293 | KY | Allopathic & Osteopathic Physicians |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
APRN.CNP.020075 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5900 Route Us 60 W Suite B, Ashland, KY 41102 | 6063935586 | 6069285547 |
| Street Address |
8991 OHIO RIVER RD |
| City | WHEELERSBURG |
| State | OH |
| Zip Code | 45694-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932542420 | Stultz Pharmacy of Wheelersburg, Inc | Durable Medical Equipment & Medical Supplies | 8991 Ohio River Rd, Wheelersburg, OH 45694-1923 | 2013-04-15 |
| 1811507171 | Ohio Valley Physicians Inc | Family Medicine | 8991 Ohio River Rd, Wheelersburg, OH 45694-1923 | 2020-08-03 |
| 1710501341 | Ovp Health Care Inc | Family Medicine | 8991 Ohio River Rd, Wheelersburg, OH 45694-1923 | 2020-05-29 |
| 1346625795 | Bellefonte Physician Services, Inc. | Nurse Practitioner | 8991 Ohio River Rd, Ste. 2, Wheelersburg, OH 45694-1923 | 2015-07-28 |
| 1831537968 | Bellefonte Physician Services, Inc. | Emergency Medicine | 8991 Ohio River Rd, Wheelersburg, OH 45694-1923 | 2013-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292902 | Karen Cooper | Nurse Practitioner | 730 A Kittle Road, Wheelersburg, OH 45694 | 2020-10-12 |
| 1477032746 | Elizabeth Lee Johnson | Nurse Practitioner | 11239 Gallia Pike Rd, Wheelersburg, OH 45694 | 2018-08-08 |
| 1215442389 | Wham, LLC | Community/Behavioral Health | 8073 Ohio River Road, Wheelersburg, OH 45694 | 2017-12-11 |
| 1225380306 | Krystal Wynn Knapp | Registered Nurse | 352 Bussey Road, Wheelersburg, OH 45694 | 2012-10-12 |
| 1114275948 | Seth E Harris | Licensed Practical Nurse | 164 Park St, Wheelersburg, OH 45694 | 2012-08-28 |
| 1790972008 | Assisted Living Concepts Inc | Assisted Living Facility | 900 Pirate Drive, Wheelersburg, OH 45694 | 2007-10-01 |
| 1033312376 | Lisa Gay Lancaster | Nurse's Aide | 8065 Bell St, Wheelersburg, OH 45694 | 2007-06-06 |
| 1457560773 | Sharon Kay Tilley | Home Health Aide | 10262 Gallia Pike, Wheelersburg, OH 45694 | 2007-05-22 |
| 1609080415 | Michele Renee Payton | Licensed Practical Nurse | 1200 Cole St., Wheelersburg, OH 45694 | 2007-05-10 |
| 1194879759 | Sarah Jane Riggs | Registered Nurse | 434 Miller Rd, Wheelersburg, OH 45694 | 2007-01-22 |
| Find all providers in zip 45694 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528408788 | Teri Ann Lieser | Clinical Nurse Specialist | 4974 Higbee Ave Nw Ste 209, Canton, OH 44718-2562 | 2013-07-02 |
| 1396996682 | Phyllis Jean Goldbach | Clinical Nurse Specialist | 401 Bounty Way Apt 209, Avon Lake, OH 44012-2479 | 2008-10-04 |
| 1467602276 | Christopher John Heather | Clinical Nurse Specialist | 975-a Kingsview Dr., Lebanon, OH 45036 | 2008-09-29 |
| 1417134313 | Donna R Laughlin | Clinical Nurse Specialist | 63 Baker Blvd., Akron, OH 44333-3601 | 2008-01-23 |
| 1740476548 | Grace Anastasia Herwig | Clinical Nurse Specialist | 26027 Cobblestone Way, Westlake, OH 44145-2459 | 2007-09-15 |
| 1992854756 | Angela Chesser | Clinical Nurse Specialist | 1670 Upham Dr., Columbus, OH 43210-1250 | 2007-01-10 |
| 1346310687 | Lori Sue Gozdowski | Clinical Nurse Specialist | 1425 Starr Ave., Toledo, OH 43605-1000 | 2006-11-08 |
| 1962580563 | Ellen Doreen Alaimo | Clinical Nurse Specialist | 3167 Fulton Rd, 105, Cleveland, OH 44109-1465 | 2006-11-01 |
| 1619058294 | Caryl A. Eyre | Clinical Nurse Specialist | 2612 Guilford Rd, Cleveland Heights, OH 44118-4108 | 2006-10-18 |
| 1033225404 | Susan Elizabeth Phillips | Clinical Nurse Specialist | 1260 Monroe Avenue, Suite 15h, New Philadelphia, OH 44663 | 2006-08-21 |
| Find all providers with the same taxonomy | ||||
| City | WHEELERSBURG |
| Zip Code | 45694 |
Please comment or provide details below to improve the information on MELODEE B THACKER.
| 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.