MELISSA LA RUSSO DAVIS (NPI# 1437443090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437443090 |
| Entity Type | Individual |
| Full Name | MELISSA LA RUSSO DAVIS |
| Credential | CPNP |
| Practice Address |
14214 Ballantyne Lake Rd Charlotte NC 28277-3372 |
| Practice Telephone | 7046672600 |
| Mailing Telephone | 7046672600 |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
5001556 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285160325 | Melissa Davis | Nurse Practitioner | 1228 Harden St Ste A, Columbia, SC 29204-1800 | 2017-05-11 |
| 1245761162 | Melissa Davis | Assisted Living Facility | 4364 Diamond Rd, Winter Haven, FL 33880-1502 | 2017-03-22 |
| 1811358385 | Melissa Davis | Specialist/Technologist | 12226 Collins Drive, King Athletic Center, Emory, VA 24327 | 2016-03-11 |
| 1538524954 | Melissa Davis | Specialist | 276 Rhedia Ln, Hughesville, PA 17737-8363 | 2015-12-30 |
| 1841684040 | Melissa May Davis | Contractor | 311 Newgarden Ave Apt A, Salem, OH 44460-3040 | 2015-03-25 |
| 1942617097 | Melissa Davis | Counselor | 1508 Hoffman, Royal Oak, MI 48067 | 2014-07-21 |
| 1518398981 | Melissa Cook Davis | Physician Assistant | 215 Brightwater Dr, Lillington, NC 27546-5156 | 2013-12-10 |
| 1790113116 | Melissa Davis | Doula | 1224 Irby Dr, Richmond, VA 23225-2904 | 2013-10-22 |
| 1801147152 | Melissa Sam Davis | Social Worker | Corner of Veterans Way and Lamont Street, James H Quillen Va Medical Center, Mountain Home, TN 37684-4000 | 2012-09-26 |
| 1881904118 | Melissa Davis | Licensed Practical Nurse | 85 Thompson St, Staten Island, NY 10304-2729 | 2010-10-20 |
| Street Address |
14214 BALLANTYNE LAKE RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-3372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503332 | Joseph B Mcshea | Family Medicine | 14214 Ballantyne Lake Rd, Suite 100, Charlotte, NC 28277-3372 | 2005-07-28 |
| 1629626510 | Elena Higley | Nurse Practitioner | 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372 | 2019-09-03 |
| 1376023937 | Rachel Fair | Physician Assistant | 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372 | 2018-08-14 |
| 1568953099 | Courtney Fussell | Nurse Practitioner | 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372 | 2018-05-21 |
| 1295254076 | Quinn Kuntz | Physician Assistant | 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372 | 2017-09-13 |
| 1386013480 | Stephanie Lisenby | Nurse Practitioner | 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372 | 2015-09-18 |
| 1851776850 | Alissa Meads | Nurse Practitioner | 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 28277-3372 | 2015-07-21 |
| 1417354861 | Chelsea Sams | Physician Assistant | 14214 Ballantyne Lake Rd, Suite 100, Charlotte, NC 28277-3372 | 2014-12-01 |
| 1124442769 | Corinne Sirois | Dietitian, Registered | 14214 Ballantyne Lake Rd, Ste 200, Charlotte, NC 28277-3372 | 2014-02-18 |
| 1629410683 | Jaclyn Mccord | Pediatrics | 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 28277-3372 | 2013-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700021060 | Kawanna Torrie Skinner | Nurse Practitioner | 2607 West Arrowood Road, Charlotte, NC 28273-6134 | 2008-12-15 |
| 1982203253 | Jaime Michelle Stanton Morris | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-10-19 |
| 1558995266 | Dana Cuddihy | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-03-03 |
| 1568000214 | Kristy Minor Rogers | Nurse Practitioner | 2607 W Arrowood Rd, Charlotte, NC 28273-6134 | 2019-12-12 |
| 1770126229 | Victoria Ranero | Nurse Practitioner | 2607 W Arrowood Rd, Charlotte, NC 28273-6134 | 2019-10-28 |
| 1861957334 | Camille Wood | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2019-02-08 |
| 1730659129 | Emily Denise Holland | Nurse Practitioner | 2607 W Arrowood Rd, Charlotte, NC 28273-6134 | 2018-11-28 |
| 1598266694 | Tamara Napier | Nurse Practitioner | 901 East Blvd, Charlotte, NC 28203-5203 | 2018-02-23 |
| 1285148726 | Elizabeth Dreier | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2017-11-20 |
| 1669998233 | Denise Lynn Eldridge | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204 | 2017-08-16 |
| Find all providers in CHARLOTTE | ||||
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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.