MS. MELISSA MARIE CLINTON (NPI# 1013194083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013194083 |
| Entity Type | Individual |
| Full Name | MS. MELISSA MARIE CLINTON |
| Credential | PA-C |
| Practice Address |
6901 Simmons Loop Riverview FL 33578 |
| Mailing Address |
2502 W St. Isabel St. Tampa FL 33607 |
| Practice Telephone | 8133028070 |
| Practice Fax Number | 8139725055 |
| Mailing Telephone | 8138745707 |
| Mailing Fax Number | 8139725055 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9104486 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | P00865655 | 01 |
| FL | BC/BS | Y04EQ | 01 |
| FL | 293023400 | 05 |
| Street Address |
6901 SIMMONS LOOP |
| City | RIVERVIEW |
| State | FL |
| Zip Code | 33578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114998606 | Kelly Ennix King | Internal Medicine | 6901 Simmons Loop, 4th Floor, Riverview, FL 33578-9498 | 2006-02-01 |
| 1922626316 | Chanin Williams | Nurse Practitioner | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2020-07-11 |
| 1659998672 | Sheena Patel | Anesthesiologist Assistant | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2020-06-26 |
| 1598395279 | Mechele Sanders | Nurse Practitioner | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2020-01-22 |
| 1467094425 | Observation Medical Group LLC | Emergency Medicine | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2019-10-11 |
| 1083264386 | Carmen Valdez | Nurse Practitioner | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2019-09-18 |
| 1194371005 | Austin Traver | Anesthesiologist Assistant | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2019-08-15 |
| 1164084273 | Nathan William Paluch | Anesthesiologist Assistant | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2019-06-28 |
| 1023585932 | Kimberly Havers | Nurse Practitioner | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2018-10-29 |
| 1609379254 | Cathy A Fox | Dietitian, Registered | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2018-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371015 | Carnegie Cares Home Care & Services LLC | In Home Supportive Care | 1004 Rose Petal Place, Riverview, FL 33578 | 2020-09-21 |
| 1437762697 | Learn 2 Speak LLC | Specialist/Technologist | 10310 Granada Green Court, Riverview, FL 33578 | 2020-08-27 |
| 1073138012 | Limitless Therapy, LLC. | Physical Therapist | 8637 Turnstone Shore Lane, Riverview, FL 33578 | 2020-06-16 |
| 1366078032 | Cora Health Services, Inc. | Clinic/Center | 11420 Us Hwy 301 S, Riverview, FL 33578 | 2020-03-13 |
| 1821628561 | Devin Jorge Santiago | Psychiatry & Neurology | 725 Primera Blvd Computer Lab, Lake Mary, FL 33578 | 2020-01-22 |
| 1154963759 | Kenneshia M Martin | Physical Therapy Assistant | 13135 Early Run Lane, Riverview, FL 33578 | 2019-10-15 |
| 1376015180 | Dentists of Riverview, Pa | Dentist | 13123 S. Us Hwy 301, Riverview, FL 33578 | 2018-12-19 |
| 1285102152 | Nothing About You Without You, LLC | Case Management | 10428 Yellow Spice Ct, Riverview, FL 33578 | 2018-11-08 |
| 1053887521 | Natasha Dickens | Counselor | 5523 Legacy Crescent Place, Unit 204, Riverview, FL 33578 | 2018-10-22 |
| 1376025965 | Helaina Dollins | Specialist/Technologist | 3347 Magnolia Springs Drive, Apt 203, Riverview, FL 33578 | 2018-08-30 |
| Find all providers in zip 33578 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578657219 | Elizabeth Ann Pittman | Physician Assistant | 6043 Winthrop Commerce Ave Ste 201, Riverview, FL 33578-4274 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
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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.