MELISSA KELLER (NPI# 1972988723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972988723 |
| Entity Type | Individual |
| Full Name | MELISSA KELLER |
| Credential | APN |
| Practice Address |
1609 N Medical Dr Stuttgart AR 72160-3274 |
| Practice Telephone | 8706746489 |
| Practice Fax Number | 8706726823 |
| Mailing Telephone | 8706746489 |
| Mailing Fax Number | 8706726823 |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A004474 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 201477729 | 05 | |
| AR | 100907002 | 05 | |
| AR | 201478729 | 05 | |
| AR | 201482729 | 05 | |
| AR | 203673729 | 05 | |
| AR | 201479729 | 05 | |
| AR | 201481729 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407479017 | Melissa M Keller | Social Worker | 1624 Manson Ave, Metairie, LA 70001-3624 | 2020-05-19 |
| 1912484379 | Melissa Keller | Speech-Language Pathologist | 16 Timber Meadows Pl, Edwardsville, IL 62025-5514 | 2018-07-27 |
| 1851948806 | Melissa Keller | Social Worker | 1224 E Lowell St Bldg 95, Tucson, AZ 85721-0400 | 2019-08-23 |
| 1053890368 | Melissa Keller | Occupational Therapy Assistant | 3450 W Central Ave Ste 336, Toledo, OH 43606-1418 | 2018-08-08 |
| 1679923841 | Melissa R Keller | Surgery | 1200 E Michigan Ave, Suite 655, Lansing, MI 48912-1800 | 2016-06-17 |
| 1235588062 | Melissa Catherine Keller | Optometrist | 105 Grand Central Blvd, Pooler, GA 31322-4148 | 2016-06-13 |
| 1821453093 | Melissa Keller | Social Worker | 1600 Ne Broadway St, Portland, OR 97232-1426 | 2015-12-15 |
| 1801191580 | Melissa Keller | Student in an Organized Health Care Education/Training Program | 11960 Heritage Oak Pl, Ste 15, Auburn, CA 95603-2401 | 2011-01-11 |
| 1588859995 | Melissa Rose Keller | Registered Nurse | 4100 W 3rd St, Dayton, OH 45428-9000 | 2007-09-09 |
| 1659434553 | Melissa D Keller | Counselor | 6316 San Juan Ave, Jacksonville, FL 32210-2831 | 2006-12-19 |
| Street Address |
1609 N MEDICAL DR |
| City | STUTTGART |
| State | AR |
| Zip Code | 72160-3274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235194481 | Marion E Hord | Family Medicine | 1609 N Medical Dr, Stuttgart, AR 72160-3274 | 2006-04-19 |
| 1922497049 | Nancy Hornsby | Nurse Practitioner | 1609 N Medical Dr, Stuttgart, AR 72160-3274 | 2015-01-13 |
| 1740480169 | Stuttgart Medical Clinic Ltd | Family Medicine | 1609 N Medical Dr, Stuttgart, AR 72160-3274 | 2007-07-24 |
| 1902004567 | Baptist Health Hospitals | Clinic/Center | 1609 N Medical Dr, Stuttgart, AR 72160-3274 | 2007-07-05 |
| 1790802809 | Heather Deann Spoon | Nurse Practitioner | 1609 N Medical Dr, Stuttgart, AR 72160-3274 | 2007-03-23 |
| 1861518698 | Stuttgart Medical Clinic, Ltd | Family Medicine | 1609 N Medical Dr, Stuttgart, AR 72160-3274 | 2007-03-22 |
| 1992842785 | Carma L Shumake | Nurse Practitioner | 1609 N Medical Dr, Stuttgart, AR 72160-3274 | 2007-01-31 |
| 1871676403 | Michael Adolph Oltmann | Family Medicine | 1609 N Medical Dr, Stuttgart, AR 72160-3274 | 2006-10-24 |
| 1922188226 | Paula Hooks | Nurse Practitioner | 1609 N Medical Dr, Stuttgart, AR 72160-3274 | 2006-10-17 |
| 1407812126 | Noble B Daniel IIi | Family Medicine | 1609 N Medical Dr, Stuttgart, AR 72160-3274 | 2006-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205325842 | Chiquita K. Holt Counseling | Counselor | 201 East 16th Street, (s.a.a.), Stuttgart, AR 72160 | 2018-05-09 |
| 1417409343 | Loura Flowers | Nursing Care | 2204 S Timber Street, Stuttgart, AR 72160 | 2016-10-26 |
| 1558730648 | Marathon Health, Inc. | Nurse Practitioner | 512 W Lennox Road, C/o Lennox Employee Health Center, Stuttgart, AR 72160 | 2015-09-18 |
| 1346679388 | Stephanie Patyk | Family Medicine | 1609 N Medical Drive, Stuttgart, AR 72160 | 2013-11-08 |
| 1386964708 | Kathryn M Morris | Nurse Practitioner | 1012 B East 22nd St, Stuttgart, AR 72160 | 2010-06-08 |
| 1457565400 | Professional Pharmacy | Pharmacy | 1515 N. Medical Drive, Stuttgart, AR 72160 | 2007-05-09 |
| 1770626244 | Terry Judson Smith | Pharmacist | 1515 N. Medical Dr., Stuttgart, AR 72160 | 2007-02-15 |
| 1497770242 | Grand Prairie Physical Therapy of Stuttgart, Inc. | Clinic/Center | 2105 S Main St, Stuttgart, AR 72160 | 2006-07-13 |
| 1083663041 | Janis W Hillman | Social Worker | 121 Commercial Drive B, Stuttgart, AR 72160 | 2006-05-08 |
| 1811973779 | George M Dunn Jr. | Optometrist | 310 West 22nd Street, Stuttgart, AR 72160 | 2005-12-21 |
| Find all providers in zip 72160 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346514403 | Karri Jo Mitchell | Nurse Practitioner | 1012b E 22nd St, Stuttgart, AR 72160-6825 | 2012-03-06 |
| 1386964708 | Kathryn M Morris | Nurse Practitioner | 1012 B East 22nd St, Stuttgart, AR 72160 | 2010-06-08 |
| 1790802809 | Heather Deann Spoon | Nurse Practitioner | 1609 N Medical Dr, Stuttgart, AR 72160-3274 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617594 | Mckenzie Lauren Cotton | Nurse Practitioner | 1065 Skyline Dr, Conway, AR 72032-3530 | 2020-10-25 |
| 1437758026 | Ashley Michelle Rima | Nurse Practitioner | 205 Spencer St, Hot Springs, AR 71901-7742 | 2020-10-23 |
| 1063010874 | Phillip Wayne Stokes Jr. | Nurse Practitioner | 31 Ashcraft Ct, Paragould, AR 72450-7592 | 2020-10-14 |
| 1720685308 | Dannie Evenda Loy | Nurse Practitioner | 101 Hammond Drive #2131, Hot Springs, AR 71914 | 2020-10-06 |
| 1457958233 | Kaitlyn Soffray Simmons | Nurse Practitioner | 500 Kitchen St, Jonesboro, AR 72401-3135 | 2020-10-05 |
| 1013524487 | Danielle Lynn Frueh | Nurse Practitioner | 103 W University St, Siloam Springs, AR 72761-2663 | 2020-09-29 |
| 1407463938 | Aleshia Williams | Nurse Practitioner | 5401 Clear Creek Ln, Jonesboro, AR 72404-7006 | 2020-09-29 |
| 1801403217 | Jessica Evelyn Mcnamee | Nurse Practitioner | 180 Medical Park Pl Ste 202, Hot Springs, AR 71901-8067 | 2020-09-29 |
| 1437765831 | Allison Nicole Hitt | Nurse Practitioner | 3644 W Hwy 18, Manila, AR 72442 | 2020-09-21 |
| 1528674181 | Maggie Mullican | Nurse Practitioner | 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
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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.