MALLORY LYNN MELVIN (NPI# 1396203543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396203543 |
| Entity Type | Individual |
| Full Name | MALLORY LYNN MELVIN |
| Practice Address |
105 Garfield Ave Eau Claire WI 54701-4811 |
| Mailing Address |
9640 Rangeline Rd Wisconsin Rapids WI 54494-9100 |
| Practice Telephone | 7159652752 |
| Mailing Telephone | 7159652752 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
105 GARFIELD AVE |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902901994 | Joanne R Mellema | Family Medicine | 105 Garfield Ave, Student Health Service University of Wisconsin, Eau Claire, WI 54701 | 2006-09-14 |
| 1881108645 | Caitlin Ashley Edwards | Student in an Organized Health Care Education/Training Program | 105 Garfield Ave, Eau Claire, WI 54701-4811 | 2017-11-30 |
| 1154871788 | Hannah Ann Quady | Specialist/Technologist | 105 Garfield Ave, Eau Claire, WI 54701-4811 | 2016-10-06 |
| 1245788488 | Jacqueline Evans | Student in an Organized Health Care Education/Training Program | 105 Garfield Ave, Eau Claire, WI 54701-4811 | 2016-09-16 |
| 1740672054 | Kedryn Orrison | Specialist/Technologist | 105 Garfield Ave, Mcphee Physical Education Center 100, Eau Claire, WI 54701-4811 | 2015-02-23 |
| 1649661414 | Tadd N Turnquist | Specialist/Technologist | 105 Garfield Ave, Eau Claire, WI 54701-4811 | 2015-02-13 |
| 1073630257 | Angela Mae Stombaugh | Nurse Practitioner | 105 Garfield Ave, Eau Claire, WI 54701-4811 | 2007-03-23 |
| 1326198623 | Mark W Williams | Family Medicine | 105 Garfield Ave, Eau Claire, WI 54701-4811 | 2007-01-11 |
| 1750440087 | Garry Andrew Grant | Specialist/Technologist | 105 Garfield Ave, Mcphee Physical Education Center, Eau Claire, WI 54701-4811 | 2006-12-06 |
| 1144321738 | Joyce A Smith | Nurse Practitioner | 105 Garfield Ave, Student Health Service, Eau Claire, WI 54701-4811 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576933 | Sonam Bansal | Student in an Organized Health Care Education/Training Program | 6377 Prairie Cir S, Eau Claire, WI 54701-6792 | 2020-07-31 |
| 1982229019 | Kaitlin Joyce Hollister | Student in an Organized Health Care Education/Training Program | 5983 N Shore Dr, Eau Claire, WI 54703-2079 | 2020-06-15 |
| 1417572827 | Marcus Wollak | Student in an Organized Health Care Education/Training Program | 4015 Damon Ct, Eau Claire, WI 54701-3035 | 2020-06-11 |
| 1376181339 | Grace Erickson | Student in an Organized Health Care Education/Training Program | 1325 State St, Eau Claire, WI 54701-4071 | 2019-12-20 |
| 1528517943 | Taylor Krugh | Student in an Organized Health Care Education/Training Program | 7087 Pipestone Rd, Eau Claire, MI 49111-9723 | 2016-09-27 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1952752578 | Francis Eliot Herzog | Student in an Organized Health Care Education/Training Program | 3351 Westover Ln, Eau Claire, WI 54701-7172 | 2016-06-24 |
| 1538547245 | Adam Gregory Estabrooks | Student in an Organized Health Care Education/Training Program | 916 S Barstow St, Eau Claire, WI 54701-3866 | 2015-05-13 |
| 1417577610 | Samantha Vouyiouklis | Student in an Organized Health Care Education/Training Program | 617 W Clairemont Ave, Eau Claire, WI 54701-6223 | 2020-04-17 |
| 1427678614 | Danash Raja | Student in an Organized Health Care Education/Training Program | 617 W Clairemont Ave, Eau Claire, WI 54701-6223 | 2020-04-17 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
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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.