MS. JACQUETTA WOODS MELVIN (NPI# 1497987333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497987333 |
| Entity Type | Individual |
| Full Name | MS. JACQUETTA WOODS MELVIN |
| Other Name | JACQUETTA A WOODS |
| Credential | PA-C |
| Practice Address |
2815 Cates Ave Campus Box 7304 Raleigh NC 27695-7304 |
| Practice Telephone | 9195152563 |
| Mailing Telephone | 9195152563 |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2015-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-01936 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2815 CATES AVE CAMPUS BOX 7304 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27695-7304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609854728 | Catherine O'fallon Vinzani | Nurse Practitioner | 2815 Cates Ave, Box 7304, Raleigh, NC 27695-7304 | 2006-01-09 |
| 1194236588 | Suha Najjar | Nutritionist | 2815 Cates Ave, Raleigh, NC 27695-0001 | 2017-10-12 |
| 1801339320 | Noah Martinson | Social Worker | 2815 Cates Ave, Raleigh, NC 27695-0001 | 2016-12-01 |
| 1326403239 | Ashley Pinet | Dietitian, Registered | 2815 Cates Ave, Raleigh, NC 27695-0001 | 2015-12-18 |
| 1689951022 | North Carolina State University | Clinic/Center | 2815 Cates Ave, Cb 7304, Raleigh, NC 27695-0001 | 2011-11-14 |
| 1316182991 | Alison L Brim | Nurse Practitioner | 2815 Cates Ave, Campus Box 7304, Raleigh, NC 27695-7304 | 2008-12-10 |
| 1770745010 | Angel Bliss Johnson | Counselor | 2815 Cates Ave, Raleigh, NC 27695-0001 | 2008-06-27 |
| 1881712842 | North Carolina State University | Clinic/Center | 2815 Cates Ave, Cb 7304, Raleigh, NC 27695-7304 | 2007-03-27 |
| 1023146677 | Jason Troiano | Family Medicine | 2815 Cates Ave, Raleigh, NC 27695-7304 | 2007-03-02 |
| 1851429476 | Carolyn Garrett-piggott | Family Medicine | 2815 Cates Ave, Raleigh, NC 27695-7304 | 2007-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760911150 | Joy Bataille | Pharmacist | 2815 Cates Avenue, Raleigh, NC 27695 | 2017-06-08 |
| 1992334247 | Brianne Lawton | Specialist/Technologist | 1 Reynolds Coliseum, Raleigh, NC 27695-0001 | 2020-04-07 |
| 1164065827 | Whitney Beth Griffin | Psychologist | 2310 Stinson Drive Ncsu Dept of Psychology 640 Poe Hall, Raleigh, NC 27695-0001 | 2019-10-24 |
| 1023523552 | Soo Young Uhm | Dietitian, Registered | 2815 Cates Avenue Campus Box 7304, Raleigh, NC 27695-0001 | 2017-12-06 |
| 1578088316 | Andrew Bagley | Emergency Medicine | 2500 Warren Caroll Drive, Raleigh, NC 27695-0001 | 2017-08-12 |
| 1184149312 | Mianmian Sun | Pharmacist | 2815 Cates Ave Box 7304, Raleigh, NC 27695-0001 | 2017-08-09 |
| 1063952034 | Natalie Murr | Psychologist | 640 Poe Hl, 2310 Katharine Stinson Drive, Raleigh, NC 27695-0001 | 2017-02-24 |
| 1821413519 | Kristen Lyn Mostrom | Specialist/Technologist, Other | 2500 Warren Carroll Dr Box 8502, Raleigh, NC 27695-0001 | 2014-03-04 |
| 1457577975 | Sasha J Fradin | Psychologist | Ncsu Psychoeducational Clinic, Campus Box 7650, Raleigh, NC 27695-0001 | 2007-04-17 |
| 1699390021 | Scott Donald Ensell | Specialist/Technologist | 2500 Warren Carroll Dr, Raleigh, NC 27695-0001 | 2020-06-11 |
| Find all providers in zip 27695 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285195768 | Rebecca Lee Hill | Physician Assistant | 3100 Blue Ridge Rd Ste 103, Raleigh, NC 27612-8002 | 2019-03-27 |
| 1306300520 | Lanlen Luke Venable | Physician Assistant | 4414 Lake Boone Trl Ste 502, Raleigh, NC 27607-7521 | 2019-01-23 |
| 1942723788 | Elizabeth Grace Carmen Lee Macarthur | Physician Assistant | 10211 Alm St Ste 1200, Raleigh, NC 27617-8221 | 2017-07-24 |
| 1164969168 | Grace Klinic, LLC | Physician Assistant | 6516 Falls of Neuse Rd, 110, Raleigh, NC 27615-6847 | 2017-01-27 |
| 1982075073 | David Zuckerman | Physician Assistant | 1311 E Millbrook Rd Ofc, Raleigh, NC 27609-5473 | 2015-10-14 |
| 1649570060 | Jeffrey M Rosowski | Physician Assistant | 3320 Executive Dr Ste 222, Raleigh, NC 27609-7445 | 2010-11-02 |
| 1023332020 | Brooke Register Lilley | Physician Assistant | 6500 Creedmoor Rd., Raleigh, NC 27613 | 2010-03-18 |
| 1548582620 | Melanie Fox Langston | Physician Assistant | 7870 Alexander Promenade Pl, Raleigh, NC 27617-7350 | 2010-02-17 |
| 1184863086 | Lisa Marie Hill | Physician Assistant | 2709 Blue Ridge Rd Ste 320, Raleigh, NC 27607-6462 | 2009-02-17 |
| 1538248125 | Harry David Kurtz | Physician Assistant | 4509 Creedmoor Rd Ste 201, Raleigh, NC 27612-3813 | 2006-11-03 |
| Find all providers in RALEIGH | ||||
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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.