Melissa N Kirk (NPI# 1871652255, PAC ID# 3678796307) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1871652255 |
| PAC ID by PECOS | 3678796307 |
| Professional Enrollment ID | I20141201001766 |
| Full Name | Melissa N Kirk |
| Organization Legal Name | COWLITZ INDIAN TRIBE |
| Address |
1044 11th Ave Longview WA 98632-2506 |
| Phone Number | 3605758275 |
| Gender | F |
| Graduation Year | 1994 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 8820030133 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500041 | PEACHEALTH ST JOHN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1044 11th Ave, Longview, WA 98632-2506 | 3605758275 | COWLITZ INDIAN TRIBE |
| Organization Legal Name | COWLITZ INDIAN TRIBE |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie M Degroat | Clinical Social Worker | Cowlitz Indian Tribe | 15455 65th Ave S, Tukwila, WA 98188-2534 |
| Lori D Ryan | Nurse Practitioner | Cowlitz Indian Tribe | 1044 11th Ave, Longview, WA 98632-2506 |
| Julie M Peterson | Nurse Practitioner | Cowlitz Indian Tribe | 7700 Ne 26th Ave, Cowlitz Indian Tribal Health Services, Vancouver, WA 98665-0672 |
| Brenda M Bible | Clinical Social Worker | Cowlitz Indian Tribe | 922 Fir St, Longview, WA 98632-2525 |
| Tina M Taylor | Nurse Practitioner | Cowlitz Indian Tribe | 922 Fir St, Longview, WA 98632-2525 |
| Lynsey R Dearth | Clinical Social Worker | Cowlitz Indian Tribe | 15455 65th Ave S, Tukwila, WA 98188-2534 |
| Freida A Eng | Family Medicine | Cowlitz Indian Tribe | 1044 11th Ave, Longview, WA 98632-2506 |
| Melanie J Ondong | Nurse Practitioner | Cowlitz Indian Tribe | 1044 11th Ave, Longview, WA 98632-2506 |
| Charletta L Lewis | Nurse Practitioner | Cowlitz Indian Tribe | 922 Fir St, Longview, WA 98632-2525 |
| Rosson W Wiebe | Nurse Practitioner | Cowlitz Indian Tribe | 15455 65th Ave S, Tukwila, WA 98188-2534 |
| Street Address |
1044 11TH AVE |
| City | LONGVIEW |
| State | WA |
| Zip | 98632-2506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori D Ryan | Nurse Practitioner | Cowlitz Indian Tribe | 1044 11th Ave, Longview, WA 98632-2506 |
| Freida A Eng | Family Medicine | Cowlitz Indian Tribe | 1044 11th Ave, Longview, WA 98632-2506 |
| Melanie J Ondong | Nurse Practitioner | Cowlitz Indian Tribe | 1044 11th Ave, Longview, WA 98632-2506 |
| Cheyney W Lindgren | Nurse Practitioner | Cowlitz Indian Tribe | 1044 11th Ave, Longview, WA 98632-2506 |
| Joyce E Tobias | Nurse Practitioner | Cowlitz Indian Tribe | 1044 11th Ave, Longview, WA 98632-2506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick M Lassen | Urology | Longview Urology Pllc | 625 9th Ave, Suite 120, Longview, WA 98632-1607 |
| John T Mansfield | Urology | Longview Urology Pllc | 625 9th Ave, Suite 120, Longview, WA 98632-1607 |
| Chad C Chesley | Urology | Longview Urology Pllc | 625 9th Ave, Suite 120, Longview, WA 98632-1607 |
| Jodie E Brewer-peet | Physician Assistant | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Saeyeal K Lee | Obstetrics/gynecology | Peacehealth | 1660 Delaware St, Longview, WA 98632-2310 |
| Riyad Caradog Karmy-jones | General Surgery | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Kim W Stoneking | Family Medicine | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Yoon Hee Amy Chang | Internal Medicine | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Peter J Leyzac | Certified Registered Nurse Anesthetist (crna) | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Donna K Lynds | Nurse Practitioner | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Find all physicians in zip 98632 | |||
| City | LONGVIEW |
| Zip Code | 98632 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | LONGVIEW + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.