MELISSA RAE WALLER (NPI# 1316424153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316424153 |
| Entity Type | Individual |
| Full Name | MELISSA RAE WALLER |
| Credential | ARNP |
| Practice Address |
1860 Bearberry Cir Apt 208 Lutz FL 33559-8778 |
| Practice Telephone | 8139568818 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9320089 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184092371 | Melissa Waller | Registered Nurse | 652 Gable Oaks Ln Nw, Concord, NC 28027-5202 | 2015-09-04 |
| 1588198378 | Melissa Marie Waller | Counselor | 390 E Cedar St, Sequim, WA 98382-3403 | 2017-04-18 |
| Street Address |
1860 BEARBERRY CIR APT 208 |
| City | LUTZ |
| State | FL |
| Zip Code | 33559-8778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286930 | Mark Cutler Behm | Dentist | 25464 Grand Cypress Dr, Lutz, FL 33559 | 2019-07-12 |
| 1659837656 | B&b Florida Eye Care Pllc | Optometrist | 25434 Sierra Center Boulevard, Lutz, FL 33559 | 2019-02-14 |
| 1457821076 | Roxanne Juliet Beaton | Counselor | 23540 State Rd. 54, Lutz, FL 33559 | 2018-11-26 |
| 1073097275 | Ivelisse Lopez Garcia | Social Worker | 4840 Tampa Downs Blvd Lutz, Tampa, FL 33559 | 2018-09-24 |
| 1134601735 | Brandon Baker | Specialist/Technologist | 15111 Buckhorn Court, Lutz, FL 33559 | 2018-08-30 |
| 1003314162 | Alpha and Omega Resource Center | Day Training, Developmentally Disabled Services | 15115 19th Street, Lutz, FL 33559 | 2018-01-24 |
| 1609391432 | Kristi Faye Steuber | Behavior Technician | 24021 Timberset Court, Lutz, FL 33559 | 2017-08-14 |
| 1245786185 | Costco Wholesale Corporation | Hearing Aid Equipment | 2225 Grand Cypress Drive, Lutz, FL 33559 | 2016-08-31 |
| 1245620632 | Tamara Ibrahim | Pharmacist | 14905 Deer Meadow Drive, Lutz, FL 33559 | 2015-01-23 |
| 1932520004 | Nueva Vida Alf II Inc | Respite Care | 2827 Max Smith Rd, Lutz, FL 33559 | 2013-12-17 |
| Find all providers in zip 33559 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881416 | Donald Douglass Jamieson | Nurse Practitioner | 17929 Hunting Bow Cir # Na, Lutz, FL 33558-5378 | 2020-11-08 |
| 1801406194 | Victoria Gonzalez | Nurse Practitioner | 18249 Clear Lake Dr, Lutz, FL 33548-6436 | 2020-08-03 |
| 1740808385 | Jesus Ivan Gonzalez Batista | Nurse Practitioner | 22628 Royal Ridge Ct, Lutz, FL 33549-8781 | 2020-07-09 |
| 1992336440 | Linda Marie Unger | Nurse Practitioner | 2077 Wetland Pt Unit 1201, Lutz, FL 33558-5463 | 2020-02-03 |
| 1629626718 | Amy Marie Algood | Nurse Practitioner | 2507 Chateau Dr, Lutz, FL 33559-4006 | 2019-08-31 |
| 1649837352 | Alycia Buford Boudreau | Nurse Practitioner | 19605 Morden Blush Dr, Lutz, FL 33558-9087 | 2019-05-29 |
| 1962982207 | Azeezat Fashola | Nurse Practitioner | 18956 N Dale Mabry Hwy Ste 102, Lutz, FL 33548-4915 | 2018-08-16 |
| 1235621806 | Eliana Hicks | Nurse Practitioner | 2404 Towery Trl, Lutz, FL 33549-3779 | 2018-05-30 |
| 1831643485 | Jennifer Childers | Nurse Practitioner | 24229 Lakerush Ct, Lutz, FL 33559-7330 | 2016-08-11 |
| 1295183739 | Simpliderm, LLC | Nurse Practitioner | 17907 Sparrows Nest Drive, Suite 103, Lutz, FL 33558-8025 | 2016-05-25 |
| Find all providers in LUTZ | ||||
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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.