RANDI MARIE MELTON (NPI# 1457704595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457704595 |
| Entity Type | Individual |
| Full Name | RANDI MARIE MELTON |
| Credential | ADT/CT-AD |
| Practice Address |
29520 Canvasback Dr Easton MD 21601-7124 |
| Mailing Address |
2336 Goddard Pkwy Salisbury MD 21801-1126 |
| Practice Telephone | 4108225007 |
| Mailing Telephone | 4103346961 |
| Mailing Fax Number | 4103346362 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ADT1187 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 520202701 | 05 | |
| MD | 520202703 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548643273 | Randi Cheree Melton | Family Medicine | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2015-06-30 |
| Street Address |
29520 CANVASBACK DR |
| City | EASTON |
| State | MD |
| Zip Code | 21601-7124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649239948 | George Wright Rever | Psychiatry & Neurology | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2006-03-23 |
| 1801425129 | Stephanie Boley | Counselor | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2020-04-07 |
| 1053951004 | Aisha Hassan-davis | Nurse Practitioner | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2020-01-07 |
| 1366922080 | Misty Ann Miller | Social Worker | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2018-08-21 |
| 1740708197 | Joseph B Cox | Counselor | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2017-09-06 |
| 1356867907 | Peter Jude Buesgens | Social Worker | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2017-08-16 |
| 1619424686 | Sierra Alexa Monturoi | Social Worker | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2016-09-07 |
| 1144774068 | Susan Halliwell Knade | Counselor | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2016-08-09 |
| 1326499690 | Jeremy Michael Mckinney | Counselor | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2016-06-28 |
| 1982054623 | Maria La'frice Daniels | Social Worker | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2016-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554233 | Scott T Reiman | Counselor | 1224 Whitehall Ave, Easton, PA 18045-5621 | 2020-06-26 |
| 1063739738 | Nooksack Central Management System | Counselor | 3003 Cabin Creek Road, Easton, WA 98925 | 2010-04-21 |
| 1164694410 | Cornelius Edwards | Counselor | 10 S Hanson St, Easton, MD 21601-3010 | 2008-03-27 |
| 1407042336 | Kim Michelle Chase | Counselor | 21 N Hanson St Ste 99-d, Easton, MD 21601-3144 | 2007-09-25 |
| 1891913737 | Trisha Andress | Counselor | 301 Bay St Ste 307, Easton, MD 21601-2796 | 2007-04-24 |
| 1952442238 | Talbot County Health Department Addictions Program | Counselor | 301 Bay Street, Suite 307, Easton, MD 21601-2796 | 2007-02-09 |
| 1083729602 | George M Cody | Counselor | 10 S Hanson St Ste 30, Easton, MD 21601-3078 | 2006-08-21 |
| 1144280389 | Sharon Virginia Elwell | Counselor | 1901 Hay Ter Lowr Level6, Easton, PA 18042 | 2006-03-23 |
| 1760009815 | Tyese Lorraine Aungst | Counselor | 241 N 13th St, Easton, PA 18042-3211 | 2020-07-05 |
| 1235790783 | Daphime Jackson | Counselor | 8737 Brooks Dr Ste 108, Easton, MD 21601-7474 | 2019-06-25 |
| Find all providers in EASTON | ||||
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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.