ANN F MELLEN (NPI# 1144368127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144368127 |
| Entity Type | Individual |
| Full Name | ANN F MELLEN |
| Credential | FNP |
| Practice Address |
13407 State Route 12 Boonville NY 13309 |
| Practice Telephone | 3159423500 |
| Practice Fax Number | 3159423618 |
| Mailing Telephone | 3159423500 |
| Mailing Fax Number | 3159423618 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2012-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F331641-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F331641 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03300331641 | 05 |
| Street Address |
13407 STATE ROUTE 12 |
| City | BOONVILLE |
| State | NY |
| Zip Code | 13309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336100767 | Rome Memorial Hospital, Inc | Clinic/Center | 13407 State Route 12, Boonville, NY 13309-4954 | 2006-03-28 |
| 1336677822 | Corrine Elizabeth Reed | Registered Nurse | 13407 State Route 12, Boonville, NY 13309-4954 | 2017-05-26 |
| 1699155895 | Amanda Lampman | Nurse Practitioner | 13407 State Route 12, Boonville, NY 13309-4954 | 2015-06-02 |
| 1124265749 | Sushma Sapkota Pandey | Internal Medicine | 13407 State Route 12, Boonville Family Care, Boonville, NY 13309 | 2009-01-20 |
| 1487678447 | Elizabeth Gleasman | Nurse Practitioner | 13407 State Route 12, Boonville, NY 13309 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447582606 | Jessica M Maurer | Pharmacist | 261 Utica Blvd, Boonville, NY 13309 | 2010-02-12 |
| 1104058791 | Tracy Bova | Registered Nurse | 13407 New York 12, Boonville, NY 13309 | 2009-08-14 |
| 1336347822 | Kph Healthcare Services, Inc. | Pharmacy | 261 Utica Boulevard, Boonville, NY 13309 | 2007-07-05 |
| 1487784278 | Bruce Michael Renders | Dentist | 109 Ann Street, Boonville, NY 13309 | 2007-03-07 |
| 1992870570 | Richard L Sears Thomas N Caruso Dds PC | Dentist | 3 Schuyler St, Boonville, NY 13309 | 2006-11-21 |
| 1003090242 | Michele Van Dreason | Pharmacist | 261 Utica Boulevard, Boonville, NY 13309 | 2007-12-24 |
| 1164465381 | Toby Kevin Davis | Clinical Neuropsychologist | 137 Main St., Boonville, NY 13309-0696 | 2006-06-14 |
| 1487646279 | Mountain Mental Health Group | Social Worker | 120 Schuyler St, Boonville, NY 13309-1005 | 2005-08-17 |
| 1144431511 | Susan Elizabeth Gydesen | Social Worker | 120 Schuyler St, Boonville, NY 13309-1005 | 2007-05-25 |
| 1154489813 | Timothy Francis Dowling | Social Worker | 120 Schuyler St, Boonville, NY 13309-1005 | 2006-12-05 |
| Find all providers in zip 13309 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801014360 | Kathleen G. Lenz | Nurse Practitioner | 1417 Bingham Rd, Boonville, MO 65233-2229 | 2007-04-23 |
| 1265503130 | Eric Elliott | Nurse Practitioner | 2400 Boonslick Dr, Boonville, MO 65233-1935 | 2006-11-13 |
| 1265046585 | Jacqueline Small | Nurse Practitioner | 899 Aigner Dr, Boonville, IN 47601-8473 | 2020-09-03 |
| 1235779620 | Aisha S Havill | Nurse Practitioner | 3277 Liberty Blvd, Boonville, IN 47601-9659 | 2020-01-13 |
| 1619517513 | Kimberly Lewis | Nurse Practitioner | 899 Aigner Dr, Boonville, IN 47601-8473 | 2020-01-09 |
| 1982123170 | Luiza M Savin | Nurse Practitioner | 13500 Airport Rd, Boonville, CA 95415-9133 | 2017-09-19 |
| 1982053385 | Michelle Lynn Wilson | Nurse Practitioner | 899 Aigner Dr, Boonville, IN 47601-8473 | 2016-06-07 |
| 1699155895 | Amanda Lampman | Nurse Practitioner | 13407 State Route 12, Boonville, NY 13309-4954 | 2015-06-02 |
| 1164790465 | Central Missouri Healthcare Associates, LLC | Nurse Practitioner | 1417 Bingham Rd, Boonville, MO 65233-2229 | 2011-12-01 |
| 1245516673 | O'hara Lyn Norman | Nurse Practitioner | 606 E Spring St, Boonville, MO 65233-1523 | 2011-10-31 |
| Find all providers in BOONVILLE | ||||
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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.