MRS. MELANIE R. HARRISON (NPI# 1326178138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326178138 |
| Entity Type | Individual |
| Full Name | MRS. MELANIE R. HARRISON |
| Credential | PA-C |
| Practice Address |
1 Professional Park Dr Suite 21 Johnson City TN 37604-6587 |
| Practice Telephone | 4239464163 |
| Practice Fax Number | 4232326903 |
| Mailing Telephone | 4239464163 |
| Mailing Fax Number | 4232326903 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2013-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 1494 | TN | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | TN | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1494 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3665068 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336450725 | Melanie Elizabeth Harrison | Nurse Practitioner | 1350 Lee Blvd, Lehigh Acres, FL 33936-4846 | 2010-06-30 |
| 1235398322 | Melanie Elizabeth Harrison | Social Worker | 701 Park Ave, Minneapolis, MN 55415-1623 | 2008-06-04 |
| 1720157845 | Melanie Schmit Harrison | Internal Medicine | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-11-06 |
| 1942228309 | Melanie L Harrison | Nurse Anesthetist, Certified Registered | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2006-07-17 |
| 1881629467 | Melanie Harrison | Specialist | 535 E 70th St, New York, NY 10021-4872 | 2006-07-11 |
| 1063483345 | Melanie D. Harrison | Physician Assistant | 1815 W 6th Ave, Stillwater, OK 74074-4202 | 2006-01-27 |
| Street Address |
1 PROFESSIONAL PARK DR SUITE 21 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548677 | Nancy G. Barbarito | Family Medicine | 1 Professional Park Dr, Ste 21, Johnson City, TN 37604-6589 | 2005-06-15 |
| 1063822773 | Julia E Davenport | Nurse Practitioner | 1 Professional Park Dr, Suite 21, Johnson City, TN 37604-6587 | 2014-05-02 |
| 1174957864 | Kevin K Blake | Registered Nurse | 1 Professional Park Dr, Suite 21, Johnson City, TN 37604-6587 | 2013-08-29 |
| 1649578386 | Mountain States Health Alliance | Social Worker | 1 Professional Park Dr, Suite 21 Room C-17, Johnson City, TN 37604-6587 | 2011-03-04 |
| 1194040493 | Elnora Spradling | Internal Medicine | 1 Professional Park Dr, Suite 21, Johnson City, TN 37604-6587 | 2010-03-30 |
| 1275761538 | Blue Ridge Medical Management Corporation | Internal Medicine | 1 Professional Park Dr, Ste 21, Johnson City, TN 37604-6587 | 2009-06-25 |
| 1164677647 | Kimberly Michelle Arrowood | Nurse Practitioner | 1 Professional Park Dr, Suite 21, Johnson City, TN 37604-6587 | 2008-11-25 |
| 1992993760 | Kanishka Chakraborty | Internal Medicine | 1 Professional Park Dr, Suite 21, Johnson City, TN 37604-6587 | 2007-10-05 |
| 1619039948 | Mary Ann Cash | Nurse Practitioner | 1 Professional Park Dr, Suite 18, Johnson City, TN 37604-6587 | 2006-12-14 |
| 1144241464 | Koyamangalath Krishnan | Internal Medicine | 1 Professional Park Dr, Ste 21, Johnson City, TN 37604-6587 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987446 | Caleb Stephens | Physician Assistant | 310 N State of Franklin Rd Ste 101, Johnson City, TN 37604-6063 | 2020-06-17 |
| 1174932107 | Stephen Steffey | Physician Assistant | 408 N State of Franklin Rd Ste 31, Johnson City, TN 37604-6088 | 2014-08-04 |
| 1639127327 | Tracy Lynn Gaudu | Physician Assistant | 701 Med Tech Parkway, Suite 300, Johnson City, TN 37604-2365 | 2006-05-04 |
| 1164408712 | Christopher Devon Williamson | Physician Assistant | 30 Harrison St Ste 460, Johnson City, NY 13790 | 2005-12-15 |
| 1851398176 | Christopher Michael Hendrix | Physician Assistant | 300 Wesley St, Johnson City, TN 37601-1722 | 2005-07-01 |
| 1275175234 | Sara Marie Pifer | Physician Assistant | 701 Med Tech Pkwy Ste 300, Johnson City, TN 37604-2365 | 2019-10-11 |
| 1821493263 | Oana Stingu | Physician Assistant | 46 Harrison St, Johnson City, NY 13790-2120 | 2014-10-28 |
| 1588834360 | Rickey Allen Ramsey | Physician Assistant | 2410 Susannah St, Johnson City, TN 37601-1765 | 2008-03-07 |
| 1366452914 | East Tennessee Brain & Spine Center, PC | Physician Assistant | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 | 2006-08-08 |
| 1679526669 | Christian D. Tvetenstrand Md, Pllc | Physician Assistant | 30 Harrison St, Suite 320, Johnson City, NY 13790-2161 | 2006-05-18 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on MRS. MELANIE R. HARRISON.
| 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.