MS. KUDORA MELODY MAIZE (NPI# 1932615689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932615689 |
| Entity Type | Individual |
| Full Name | MS. KUDORA MELODY MAIZE |
| Credential | MSN, FNP-C |
| Practice Address |
1325 Locust Ave Fairmont WV 26554 |
| Mailing Address |
1325 Locust Ave Fairmont WV 26554-1435 |
| Practice Telephone | 3043677100 |
| Mailing Telephone | 3043677100 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2018-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN91678NP | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | WV RN LICENSE | 91678 | 01 |
| VA | VA AUTHORIZATION TO PRESCRIBE | 0017144694 | 01 |
| VA | VA NP LICENSE | 0024175860 | 01 |
| WV | WV NP LICENSE | APRN91678NP | 01 |
| VA | VA RN LICENSE | 0001276514 | 01 |
| Street Address |
1325 LOCUST AVE |
| City | FAIRMONT |
| State | WV |
| Zip Code | 26554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750343125 | Fairmont General Hospital, Inc. | Specialist | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2006-04-03 |
| 1407477912 | West Virginia University Hospitals, Inc. | General Acute Care Hospital | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2020-05-06 |
| 1679119762 | Jennifer Lea Sayers | Counselor | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2019-11-23 |
| 1073088506 | Paige Nicole Berkhouse | Physician Assistant | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2018-10-11 |
| 1932637881 | Ryan Patrick Dolan | Physical Therapist | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2017-05-23 |
| 1801338298 | Emergency Solutions Inc | Emergency Medicine | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2016-11-16 |
| 1609325232 | Amanda Marie Skrinjorich | Physician Assistant | 1325 Locust Ave, Fairmont, WV 26554 | 2016-09-23 |
| 1740688167 | Frmc Physicians, Inc. | Psychiatry & Neurology | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2014-12-17 |
| 1033516646 | Michael L Ferrebee, M.d., Pllc | Emergency Medicine | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2014-11-25 |
| 1295131142 | Kelly Marie Schmidt | Dietitian, Registered | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2014-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1851903363 | Denise S Greer | Technician | 1029 Prickett Road, Fairmont, WV 26554 | 2020-08-18 |
| 1730790775 | Darla Lee Mcrobie | Technician | 105 C'anna Square, Fairmont, WV 26554 | 2020-08-13 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1437669066 | Ultimate Health & Wellness, LLC | Naturopath | 2862 Whitehall Blvd, Whitehall, WV 26554 | 2017-10-10 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1790173417 | Dennis Michael Lynch | Counselor | 5 Turf Lane, Fairmont, WV 26554 | 2015-01-05 |
| 1336558725 | Nicole Savage | Home Health Aide | 122 Abbott St, Fairmont, WV 26554 | 2014-08-11 |
| 1124434550 | Achuta Ram Aynampudi | Psychiatry & Neurology | 100 Stoney Hill Rd, Fairmont, WV 26554 | 2014-07-07 |
| Find all providers in zip 26554 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341253 | Elevation Family Wellness | Nurse Practitioner | 1044 Hite Cir, Fairmont, WV 26554-9398 | 2020-09-16 |
| 1700307519 | Brenda Jo Brubaker | Nurse Practitioner | 120 Maplewood Dr, Fairmont, WV 26554-2162 | 2017-06-30 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1881124428 | Kristen Cutright | Nurse Practitioner | 1325 Locust Ave # 32, Fairmont, WV 26554-1435 | 2017-06-15 |
| 1881021459 | Traci Layne Tannehill | Nurse Practitioner | 5 Erwin Ln Ste A, Fairmont, WV 26554-1376 | 2013-09-27 |
| 1205188240 | Kelly Jo Hazuka | Nurse Practitioner | 100 Avery Olivia Way Ste B, Fairmont, WV 26554-9375 | 2012-10-14 |
| 1255633103 | Christine Lynn Mott | Nurse Practitioner | 123 Michael Developement Rd, Fairmont, WV 26554-8637 | 2010-11-29 |
| 1467653139 | Mary Patricia Watson | Nurse Practitioner | 1201 Locust Avenue, Fairmont State University Student Health, Fairmont, WV 26554 | 2007-05-30 |
| 1134124589 | Brenda Mercer Allen | Nurse Practitioner | 1212 S Walnut St, Fairmont, NC 28340-1848 | 2005-06-14 |
| 1639790389 | Melissa Kay Spring | Nurse Practitioner | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2020-05-05 |
| Find all providers in FAIRMONT | ||||
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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.