MELISSA WATKINS (NPI# 1477093102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477093102 |
Entity Type | Individual |
Full Name | MELISSA WATKINS |
Credential | CRNP |
Practice Address |
1450 Ross Clark Cir Ste 400 Dothan AL 36301-4770 |
Mailing Address |
Po Box 2266 Dothan AL 36302-2266 |
Practice Telephone | 3343050400 |
Practice Fax Number | 3343050401 |
Mailing Telephone | (334) 305-0400 |
Mailing Fax Number | 3343050401 |
Enumeration Date | 2017-02-28 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1-127160 | AL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | ALABAMA NURSING LICENSE | 1-127160 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
4300 W Main St, Suite 102, Dothan, AL 363051054 | 3347939564 | 3346718907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306361209 | Melissa Ann Elizabeth Watkins | Counselor | 300 Harvey West Blvd, Santa Cruz, CA 95060-2103 | 2017-08-11 |
1104295534 | Melissa Watkins | Counselor | 809 Parkland Dr, Clovis, NM 88101-4474 | 2015-09-16 |
1285747279 | Melissa Jayne Watkins | Nurse Practitioner | 433 Caredean Dr, Horsham, PA 19044-1321 | 2006-08-16 |
Street Address |
1450 ROSS CLARK CIR STE 400 |
City | DOTHAN |
State | AL |
Zip Code | 36301-4770 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932193414 | Alan Wesley Purvis | Internal Medicine | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2005-09-09 |
1386124212 | Brittni Harrell | Nurse Practitioner | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2018-08-20 |
1790201903 | Gut PC | Nurse Anesthetist, Certified Registered | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2017-08-18 |
1164869954 | Amanda West Pybus | Nurse Practitioner | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2013-06-03 |
1174829915 | Keesha Tyler | Nurse Practitioner | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2011-01-26 |
1518160605 | Walter Jefferies Doty Iv | Internal Medicine | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2007-06-07 |
1801919089 | Christina Louise Bell | Nurse Practitioner | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2007-04-10 |
1912987785 | Pulmonary Associates, Pa | Internal Medicine | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2006-01-18 |
1013901594 | Brian Reynolds Sinclair | Internal Medicine | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2005-09-09 |
1659365138 | Marvin Walker Sexton | Internal Medicine | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2005-09-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
Find all providers in zip 36301 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972038941 | Valerie Renita Gaston | Nurse Practitioner | 4370 W Main St, Dothan, AL 36305-4000 | 2017-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790394195 | Farzana Gilani | Nurse Practitioner | 4577 Mcgill Ter, Hoover, AL 35226-6382 | 2020-07-31 |
1235762980 | Zachary David Quintana | Nurse Practitioner | 101 Sivley Rd Sw Ste 300, Huntsville, AL 35801-4421 | 2020-02-20 |
1780239160 | Amy Black | Nurse Practitioner | 10420 Reva Rd N, Chunchula, AL 36521-3330 | 2019-08-02 |
1437613031 | Lynsey Smith | Nurse Practitioner | 121 N 20th St Ste 2, Opelika, AL 36801-5409 | 2019-01-28 |
1780169037 | Kathleen Kimbrough Shields | Nurse Practitioner | 1201 11th Ave S Ste 305, Birmingham, AL 35205-3422 | 2018-10-02 |
1235635780 | Ruoting Wei | Nurse Practitioner | Uab Nephrology Tht 6th Floor 1720 2nd Ave South, Birmingham, AL 35294 | 2018-04-03 |
1326555780 | Brittany Michelle Bowen | Nurse Practitioner | 52 Medical Park Dr E Ste 307, Birmingham, AL 35235-3432 | 2018-01-08 |
1598280984 | Kimberly Sue Johnson | Nurse Practitioner | 1201 7th St Se Ste 120, Decatur, AL 35601-3337 | 2017-08-07 |
1427571389 | Sonya K Hicks | Nurse Practitioner | 1705 Main Ave Sw Ste B, Cullman, AL 35055-7207 | 2017-07-24 |
1326580515 | Kams Transportation and Mobile Health Services | Nurse Practitioner | 102 Pearle Cove Dr, Huntsville, AL 35806-4243 | 2016-11-06 |
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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.