MELISSA MARGO BLACK (NPI# 1013538834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013538834 |
| Entity Type | Individual |
| Full Name | MELISSA MARGO BLACK |
| Credential | BSN, RN-BC |
| Practice Address |
1215 E Michigan Ave Lansing MI 48912-1811 |
| Mailing Address |
700 Degroff St Grand Ledge MI 48837-1762 |
| Practice Telephone | 5173543490 |
| Mailing Telephone | 5178972774 |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
4704292407 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073631149 | Melissa Olson Black | Specialist/Technologist | 3250 River Road West, Goochland, VA 23063 | 2007-03-27 |
| 1457301921 | Melissa L Black | Optometrist | 1435 E Venice Ave, Suite 110, Venice, FL 34292-3074 | 2006-05-12 |
| 1144853706 | Melissa Black | Behavior Technician | 7001 W 79th St, Overland Park, KS 66204-3179 | 2020-02-21 |
| 1023652500 | Melissa Lee Black | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2019-10-29 |
| 1225686132 | Melissa M Black | Social Worker | 9150 Sw 87th Ave Ste B100, Miami, FL 33176-2311 | 2019-09-04 |
| 1083195903 | Melissa Black | Developmental Therapist | 9000 S County Road 800 W, Daleville, IN 47334-9420 | 2018-08-28 |
| 1821507757 | Melissa Black | Social Worker | 2212 Hope Mills Rd, Fayetteville, NC 28304-4228 | 2017-09-22 |
| 1982140141 | Melissa Black | Pharmacist | 2046 Ne Waldo Rd, Suite 3100, Gainesville, FL 32609-8975 | 2017-01-12 |
| 1043505993 | Melissa Black | Physical Therapist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2011-06-17 |
| 1215190111 | Melissa Dawn Black | Physical Therapist | 112 North 7th Street, Chambersburg Hospital - Physical Medicine Department, Chambersburg, PA 17201 | 2008-07-10 |
| Street Address |
1215 E MICHIGAN AVE |
| City | LANSING |
| State | MI |
| Zip Code | 48912-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869108 | Sparrow Specialty Hospital | General Acute Care Hospital | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2005-05-27 |
| 1447850136 | Jennifer Vincent | Clinical Nurse Specialist | 1215 E Michigan Ave, Lansing, MI 48912-1896 | 2020-10-30 |
| 1518564632 | Amanda Elaine Hazen | Nurse Practitioner | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-10-01 |
| 1629682026 | Akhil Sharma | Internal Medicine | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-09-02 |
| 1134733850 | Katie Lukovich | Physician Assistant | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-09-01 |
| 1316550874 | Joshua Wissner | Nurse Anesthetist, Certified Registered | 1215 E Michigan Ave, Lansing, MI 48912-1896 | 2020-08-25 |
| 1174133615 | Si Yuan Khor | Internal Medicine | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-08-07 |
| 1487264677 | Majid Yavari | Internal Medicine | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-08-03 |
| 1124638531 | Anurut Huntrakul | Student in an Organized Health Care Education/Training Program | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-08-01 |
| 1720697626 | Mohammad Fahad Salam | Internal Medicine | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
| 1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
| 1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
| 1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
| 1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
| Find all providers in zip 48912 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397095 | Abbi Michelle Kill | Registered Nurse | 967 E Brickley Ave, Hazel Park, MI 48030-1223 | 2019-10-15 |
| 1427514066 | Kenyatta Antoinette Stephens | Registered Nurse | 34369 Ramble Hills Dr, Farmington Hills, MI 48331-4227 | 2019-02-19 |
| 1841721032 | Alfreda Smith | Registered Nurse | 29255 Laurel Woods Dr. Apt103, Southfield, MI 48034 | 2017-03-21 |
| 1891915989 | Cynthia Lynn Blair | Registered Nurse | 125 E Southern Avenue, Muskegon, MI 49442 | 2007-04-30 |
| 1750434239 | Sarah J Ash | Registered Nurse | 983 Spaulding Office Annex, Ada, MI 49301 | 2007-01-19 |
| 1235207556 | Maureen Elaine Kassof | Registered Nurse | 5859 Cedar Ridge Dr, Ann Arbor, MI 48103-8790 | 2006-12-04 |
| 1265528756 | Kathleen Rosemarie Bender | Registered Nurse | 33101 Annapolis St Ste B, Wayne, MI 48184-2405 | 2006-10-04 |
| 1891327821 | Samara Bibi | Registered Nurse | 882 Oakman Blvd, Detroit, MI 48238-3710 | 2020-02-07 |
| 1790322865 | Stephanie Lynn Brady | Registered Nurse | 37450 Schoolcraft Rd, Livonia, MI 48150-1082 | 2019-12-07 |
| 1477194041 | June Ann Votta | Registered Nurse | 1200 N Telegraph Rd Bldg 32, Pontiac, MI 48341-1032 | 2019-10-03 |
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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.