MRS. MELISSA SUE BRILLIOTT (NPI# 1114199916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114199916 |
Entity Type | Individual |
Full Name | MRS. MELISSA SUE BRILLIOTT |
Credential | OTR/L |
Practice Address |
3851roger Brooke Drive Brooke Army Medical Center Fort Sam Houston TX 78234 |
Mailing Address |
2914 Olmos Creek Dr Apt 11208 San Antonio TX 78230-5463 |
Practice Telephone | 2109166400 |
Mailing Telephone | 2102550970 |
Enumeration Date | 2008-04-01 |
Last Update Date | 2008-04-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171000000X | Military Health Care Provider | 112610 | TX | Other Service Providers |
Street Address |
3851ROGER BROOKE DRIVE BROOKE ARMY MEDICAL CENTER |
City | FORT SAM HOUSTON |
State | TX |
Zip Code | 78234 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
Find all providers in zip 78234 |
Taxonomy Code | 171000000X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
Notes: [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437149648 | Gea M Miller | Military Health Care Provider | Brooke Army Medical Center, Attn: Mche-qd, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234-6200 | 2005-10-27 |
1730179151 | Ramon A Arroyo | Military Health Care Provider | 3151 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234 | 2005-10-26 |
1639787872 | Kelly Peterson | Military Health Care Provider | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2020-07-14 |
1043776347 | Karen Thompson | Military Health Care Provider | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2019-02-12 |
1023555257 | Robyn Ruth Lombardo | Military Health Care Provider | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2017-01-25 |
1851675565 | Yvette Woods | Military Health Care Provider | 3851 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 | 2011-09-30 |
1235300997 | Jason Lee Judkins | Military Health Care Provider | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2008-03-20 |
1790978518 | Jean Marie Coviello | Military Health Care Provider | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2007-08-24 |
1609883925 | Lise A. Cote | Military Health Care Provider | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2006-08-01 |
1528002227 | David S Lidwell | Military Health Care Provider | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2006-06-15 |
Find all providers in FORT SAM HOUSTON |
City | FORT SAM HOUSTON |
Zip Code | 78234 |
Please comment or provide details below to improve the information on MRS. MELISSA SUE BRILLIOTT.
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.