MELANIE TRUESDALE JORDAN (NPI# 1053838649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053838649 |
| Entity Type | Individual |
| Full Name | MELANIE TRUESDALE JORDAN |
| Other Name | MELANIE ELAINE TRUESDALE |
| Credential | FNP-C |
| Practice Address |
115 N Sumter St Ste 400 Sumter SC 29150-4971 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8037749465 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21217 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP4789 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275525602 | Melanie Eileen Jordan | Dentist | 816 State St, Curwensville, PA 16833-1039 | 2005-08-22 |
| 1083259550 | Melanie Michele Jordan | Physician Assistant | 100 Fairfield Dr, Seneca, PA 16346-2130 | 2019-11-08 |
| 1235581521 | Melanie Clare Jordan | Physical Therapist | 1218 Park Ave, Orange Park, FL 32073-4152 | 2016-07-11 |
| 1083011704 | Melanie Jordan | Orthopaedic Surgery | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2014-11-24 |
| 1679862924 | Melanie J Jordan | Speech-Language Pathologist | 211 Redondo Rd, Youngstown, OH 44504-1805 | 2011-04-06 |
| 1023175114 | Melanie Lynn Jordan | Advanced Practice Midwife | 276 International Circle, San Jose, CA 95119 | 2007-01-02 |
| Street Address |
115 N SUMTER ST STE 400 |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-4971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427011089 | Roland I Saavedra | Emergency Medicine | 115 N Sumter St Ste 400, Sumter, SC 29150 | 2006-04-06 |
| 1417448465 | Robin H Munn | Nurse Practitioner | 115 N Sumter St Ste 400, Sumter, SC 29150 | 2018-05-25 |
| 1871080283 | Prisma Health Medical Group-midlands | Hospitalist | 115 N Sumter St Ste 400, Sumter, SC 29150-4971 | 2018-04-20 |
| 1932599206 | Jordan Rhodes Sauls | Nurse Practitioner | 115 N Sumter St Ste 400, Sumter, SC 29150-4971 | 2015-01-26 |
| 1932376472 | Sudharani Bangalore Nanjaiah | Family Medicine | 115 N Sumter St Ste 400, Sumter, SC 29150 | 2008-05-14 |
| 1578654562 | Serena Smith | Family Medicine | 115 N Sumter St Ste 400, Sumter, SC 29150-4971 | 2006-09-27 |
| 1356307441 | Frederick C. Stone Jr. | Family Medicine | 115 N Sumter St Ste 400, Sumter, SC 29150-4971 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831843 | Paula Antoinette Dyer | Nurse Practitioner | 1804 Mallory Dr, Sumter, SC 29154-8900 | 2020-08-14 |
| 1679132997 | Roselyn E Hobbs | Nurse Practitioner | 2458 Derwent Dr, Sumter, SC 29154-1054 | 2019-06-10 |
| 1679037410 | Kurtis Rodine | Nurse Practitioner | 319 N. Main St., Sumter, SC 29150-2664 | 2019-01-25 |
| 1659845782 | Carmen Ridgeway Butler | Nurse Practitioner | 115 N Sumter St Ste 305, Sumter, SC 29150-4967 | 2019-01-11 |
| 1700391430 | Barbara Jean Epps | Nurse Practitioner | 26 Wesmark Ct, Sumter, SC 29150-1996 | 2017-12-04 |
| 1548703804 | Lorie P Hodge | Nurse Practitioner | 1810 Lirope Way, Sumter, SC 29154-1687 | 2016-11-18 |
| 1255700175 | Sherry Elder | Nurse Practitioner | 2065 Mccrays Mill Road, Ltc Health Solutions, Sumter, SC 29154 | 2015-09-21 |
| 1821258435 | Celia M Herring | Nurse Practitioner | 649 W Wesmark Blvd, Sumter, SC 29150-1900 | 2008-06-17 |
| 1801078662 | Samuel Wachter | Nurse Practitioner | 217 North Purdy St, Sumter, SC 29150 | 2007-12-03 |
| 1720173172 | Deanna Fiegel Bevan | Nurse Practitioner | Sumter County Health Department, 105 North Magnolia St, Sumter, SC 29150 | 2006-10-03 |
| Find all providers in SUMTER | ||||
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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.