MRS. MELISSA SHANNON DUBOIS (NPI# 1487996625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487996625 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA SHANNON DUBOIS |
| Other Name | MRS. MELISSA SHANNON MALONEY |
| Credential | NP-C |
| Practice Address |
300 Exempla Cir Ste 360 Lafayette CO 80026-3395 |
| Practice Telephone | 7202533071 |
| Mailing Telephone | 7202533071 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2014-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
0185901 | CO | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0990683 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 07459271 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871988360 | Melissa Dubois | Nurse Practitioner | 900 Towne Lake Pkwy Ste 410, Woodstock, GA 30189-1604 | 2015-04-01 |
| 1932355856 | Melissa L Dubois | Obstetrics & Gynecology | 1040 Reed Ave, Suite 4, Wyomissing, PA 19610-2029 | 2008-08-12 |
| 1679618169 | Melissa Colleen Knight Dubois | Nurse Practitioner | 55 Fruit St, Mass. General Hospital, Ellison 735, Boston, MA 02114-2621 | 2007-02-21 |
| 1497839617 | Melissa Sue Dubois | Radiology | 9200 W Wisconsin Ave, Department of Radiology, Milwaukee, WI 53226-3522 | 2006-10-24 |
| Street Address |
300 EXEMPLA CIR STE 360 |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-3395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275524761 | Karen M Lochhead | Internal Medicine | 300 Exempla Cir Ste 360, Lafayette, CO 80026-3395 | 2005-11-02 |
| 1609493576 | Scl Health Front Range Inc | Internal Medicine | 300 Exempla Cir Ste 360, Lafayette, CO 80026-3395 | 2020-06-26 |
| 1346865466 | Rocky Mountain Pediatric Urology, PC | Urology | 300 Exempla Cir Ste 360, Lafayette, CO 80026-3395 | 2020-06-15 |
| 1992203194 | Denver Nephrologists, PC | Internal Medicine | 300 Exempla Cir Ste 360, Lafayette, CO 80026-3395 | 2018-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285182550 | Elizabeth Anne Summerhayes | Nurse Practitioner | 3542 Oconner Dr, Lafayette, CA 94549-4933 | 2016-09-15 |
| 1194106674 | Jessica J. Meredith | Nurse Practitioner | 4118 Trees Dr, Lafayette, IN 47909-3450 | 2015-06-10 |
| 1013291350 | Shelly Sebastien Richard | Nurse Practitioner | 501 W Saint Mary Blvd Ste 200, Lafayette, LA 70506-4665 | 2011-10-05 |
| 1134442692 | Christine Devillier Richard | Nurse Practitioner | 522 Harrell Dr, Lafayette, LA 70503-4935 | 2010-03-11 |
| 1679761761 | Grace Ihsiu Todd | Nurse Practitioner | 964 Mezzanine Dr, Planned Parenthood of Indiana and Kentucky, Lafayette, IN 47905-8631 | 2007-10-15 |
| 1396761060 | Deirdre Irene Detraz | Nurse Practitioner | 2801 Kaliste Saloom Rd, Suite 200 B, Lafayette, LA 70508-7181 | 2006-07-14 |
| 1861451106 | Anne Elizabeth Zahnke | Nurse Practitioner | 1 W 240 S, Lafayette, IN 47909-6303 | 2006-03-23 |
| 1194728568 | Gilbert Almanza | Nurse Practitioner | 1345 Unity Pl, Suite 345, Lafayette, IN 47905-5760 | 2005-05-31 |
| 1891330726 | Sarah Roth | Nurse Practitioner | 3750 Landmark Dr Ste B, Lafayette, IN 47905-6652 | 2019-11-14 |
| 1235774431 | Rdd Consulting | Nurse Practitioner | 3400 Moss St Ste B, Lafayette, LA 70507-6114 | 2019-11-12 |
| Find all providers in LAFAYETTE | ||||
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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.