MRS. MELISSA JO BURKHOLDER (NPI# 1699183855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699183855 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA JO BURKHOLDER |
| Credential | CNP |
| Practice Address |
1750 W 4th St Ontario OH 44906-1770 |
| Practice Telephone | 4195268111 |
| Practice Fax Number | 4195298617 |
| Mailing Telephone | 4195268111 |
| Mailing Fax Number | 4195298617 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.16178-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1750 W 4TH ST |
| City | ONTARIO |
| State | OH |
| Zip Code | 44906-1770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336123710 | Lynne W Smith | Nurse Practitioner | 1750 W 4th St, Ontario, OH 44906-1770 | 2005-11-30 |
| 1952888232 | Julia Samantha Moore | Nurse Practitioner | 1750 W 4th St, Ontario, OH 44906-1770 | 2018-07-19 |
| 1922523471 | Jillian L Teeter | Nurse Practitioner | 1750 W 4th St, Ontario, OH 44906-1770 | 2017-08-06 |
| 1982085478 | Tonya Jo Gruel-wright | Specialist/Technologist | 1750 W 4th St, Ontario, OH 44906-1770 | 2015-06-10 |
| 1679847891 | Steven Wayne Anderson | Physical Therapy Assistant | 1750 W 4th St, Suite 3, Ontario, OH 44906-1770 | 2012-03-06 |
| 1891022307 | Betsy Hoffman | Physical Therapist | 1750 W 4th St, Ontario, OH 44906-1770 | 2009-11-05 |
| 1437300720 | Jeannie Lynne Reid | Nurse Practitioner | 1750 W 4th St, Ontario, OH 44906-1770 | 2008-10-05 |
| 1346400058 | Vamsee K Amirneni | Internal Medicine | 1750 W 4th St, Ontario, OH 44906-1770 | 2008-06-16 |
| 1417046996 | Patricia Christine Conn | Nurse Practitioner | 1750 W 4th St, Ontario, OH 44906-1770 | 2006-10-12 |
| 1952407850 | Joyce Marie Mitchell | Emergency Medicine | 1750 W 4th St, Ontario, OH 44906-1770 | 2006-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
| 1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
| 1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
| 1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| Find all providers in zip 44906 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528689874 | Tracy Alan Fleming | Nurse Practitioner | 2270 Ferguson Rd Unit 114, Ontario, OH 44906-5200 | 2020-04-28 |
| 1124661913 | Michael Baello | Nurse Practitioner | 3065 E Oak Knoll Loop, Ontario, CA 91761-3872 | 2019-10-23 |
| 1073165916 | Arieal Elizabeth Cook | Nurse Practitioner | 7021 Fisher Rd, Ontario, NY 14519-9764 | 2019-07-11 |
| 1821566316 | Kiersten Hackley Hogg | Nurse Practitioner | 533 Nw 2nd St, Ontario, OR 97914-1707 | 2018-11-02 |
| 1306341912 | Veronica Salazar Sy | Nurse Practitioner | 4973 S Rosemary Way, Ontario, CA 91762-7304 | 2018-03-26 |
| 1619330362 | Brenda Rios | Nurse Practitioner | 1555 E. Holt Blvd # 4921, Ontario, CA 91761-9998 | 2016-03-31 |
| 1053793752 | Pamela C Elsbree | Nurse Practitioner | 1719 Paddy Ln, Ontario, NY 14519-9534 | 2015-06-18 |
| 1215276456 | Jacquiline Rances Jamora | Nurse Practitioner | 1035 E Riverside Dr, Ontario, CA 91761-6842 | 2013-02-07 |
| 1629229745 | Anthonia Ejimole Okeani | Nurse Practitioner | 125 W F St Ste 103, Ontario, CA 91762-3262 | 2008-10-07 |
| 1275534083 | Patsy Looney | Nurse Practitioner | 7 Sw 3rd St, Ontario, OR 97914-2742 | 2005-08-02 |
| Find all providers in ONTARIO | ||||
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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.