MRS. MELISSA RENEE BOUASSABA (NPI# 1922362052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922362052 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA RENEE BOUASSABA |
| Credential | BC-ACNS |
| Practice Address |
200 Patewood Dr Ste B350 Greenville SC 29615-6337 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8644544500 |
| Mailing Telephone | 8647976247 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
209009613 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 PATEWOOD DR STE B350 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-6337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588653273 | Thomas Joseph Fox Jr. | Psychiatry & Neurology | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2005-10-17 |
| 1821648676 | Andrea Lee Fowler | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2019-09-13 |
| 1801442595 | Megan Sloan | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2019-08-18 |
| 1902313018 | Ngan Kim Ward | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2018-01-10 |
| 1134645641 | Sarah Jungmee Mcnight | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2017-08-16 |
| 1679097794 | Lauren Walpole Scarborough | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2017-07-31 |
| 1134668239 | Ashley Denneil Alexander | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2017-02-22 |
| 1578935904 | Sarah Denes Morris | Nurse Practitioner | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2015-10-26 |
| 1134516594 | Dery Ann Miller | Psychiatry & Neurology | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2015-04-22 |
| 1235559352 | Venkatachalam Kumar Veerappan | Psychiatry & Neurology | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2014-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169084 | Denise Harper | Clinical Nurse Specialist | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2020-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942579347 | Angela Hebert Hayden Np | Clinical Nurse Specialist | 400-4 College Ave, Suite 3, Clemson, SC 29631-2925 | 2011-12-14 |
| 1710291455 | Linda Ramsey Bright | Clinical Nurse Specialist | 103 Bee Street, Charleston, SC 29403 | 2010-08-05 |
| 1568604338 | Shannon Bright Smith | Clinical Nurse Specialist | 400 Magnolia St # 135a, Orangeburg, SC 29115-6815 | 2009-03-25 |
| 1790967131 | Pamela Bearden | Clinical Nurse Specialist | 160 Rutledge Ave, Charleston, SC 29403-5821 | 2007-11-28 |
| 1295169241 | Tolvalyn Shinia Dennison | Clinical Nurse Specialist | 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8005 | 2013-08-27 |
| 1699112425 | Kelly Marie Pabst | Clinical Nurse Specialist | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414-7710 | 2013-06-03 |
| 1861702532 | Amanda K Krutke | Clinical Nurse Specialist | 107 Omni Dr, Suite A, Seneca, SC 29672-9448 | 2010-10-15 |
| 1164668224 | Christine M Moffett | Clinical Nurse Specialist | 109 Bee St, Charleston, SC 29401-5703 | 2008-12-19 |
| 1831213545 | Donna D Burroughs | Clinical Nurse Specialist | 100 Healthy Way, Suite 1210, Anderson, SC 29621-7915 | 2007-03-19 |
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on MRS. MELISSA RENEE BOUASSABA.
| 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.