MELONIE JACKSON (NPI# 1215479613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215479613 |
| Entity Type | Individual |
| Full Name | MELONIE JACKSON |
| Practice Address |
26640 Belanger St Roseville MI 48066-3185 |
| Practice Telephone | 5802782307 |
| Mailing Telephone | 5802782307 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700277704 | Melonie Jackson | Counselor | 700 Nw 1018th Ave, Wilburton, OK 74578-6605 | 2015-02-11 |
| Street Address |
26640 BELANGER ST |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-3185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838747 | Quinn Morse | Massage Therapist | 1058 Shenencock Way, Roseville, CA 95747-7512 | 2020-10-15 |
| 1093322190 | Steven Gonzalez Rodriguez | Massage Therapist | 701 Gibson Dr Apt 1612, Roseville, CA 95678-5744 | 2020-09-23 |
| 1164036885 | Emanuel Buggs | Massage Therapist | 30585 Sandhurst Dr Apt 205, Roseville, MI 48066-7724 | 2020-09-01 |
| 1326695495 | Jordan Wan | Massage Therapist | 1141 Smith Lane Ste #3, Ste #3, Roseville, OH 95661-4123 | 2019-08-22 |
| 1124593538 | Dean Samuel Pastor | Massage Therapist | 6001 Barnside Pl, Roseville, CA 95747-9616 | 2018-10-11 |
| 1184103392 | Jennifer Youssef | Massage Therapist | 18001 Biehl St, Roseville, MI 48066-2573 | 2018-08-08 |
| 1760911192 | Laura Marie Hummel | Massage Therapist | 9077 Foothills Blvd. Suite 200, Roseville, CA 95747 | 2017-06-08 |
| 1164883765 | Jeffrey Korolchuk Jr. | Massage Therapist | 2204 Lexington Ave N Apt 10, Roseville, MN 55113-4355 | 2016-03-10 |
| 1982073193 | Sherri Macmillan | Massage Therapist | 508 Gibson Drive, Ste 290, Roseville, CA 95678 | 2015-09-17 |
| 1215322417 | Lisa Thompson | Massage Therapist | 2353 Rice St Ste 130, Roseville, MN 55113-3770 | 2015-04-03 |
| Find all providers in ROSEVILLE | ||||
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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.