MELISSA DEROOS (NPI# 1740642255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740642255 |
| Entity Type | Individual |
| Full Name | MELISSA DEROOS |
| Credential | CADC |
| Practice Address |
2309 Jackson St Sioux City IA 51104-3546 |
| Practice Telephone | 7122585424 |
| Practice Fax Number | 7122243722 |
| Mailing Telephone | 7122585424 |
| Mailing Fax Number | 7122243722 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |
| 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) |
14114 | IA | Behavioral Health & Social Service Providers |
| Street Address |
2309 JACKSON ST |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51104-3546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578944435 | Family First Dental Associates of Iowa, P.C. | Dentist | 2100 Indian Hills Drive, Sioux City, IA 51104 | 2015-06-16 |
| 1740590785 | Khatu Vivienne Erlbacher | Pharmacist | 515 North Briar Path, Sioux City, IA 51104 | 2010-10-08 |
| 1730407545 | Randall Glen Wood | Emergency Medicine | 2720 Stone Park Blvd., Sioux City, IA 51104 | 2010-05-04 |
| 1790811024 | Fred R Rizk | Dentist | 1923 Nebraska Street, Siuox City, IA 51104 | 2007-02-23 |
| 1255474029 | Edilia Maria Marshall | Dentist | Summit Dental, 2114 Pierce St, Sioux City, IA 51104 | 2007-02-14 |
| 1063553410 | Thomas Leonard Tiedeman | Dentist | 2918 Hamilton Blvd, Upper D Suite 1, Sioux City, IA 51104 | 2007-02-09 |
| 1336209188 | Shawn Robert Walton | Dentist | 2410 Pierce Street, Sioux City, IA 51104 | 2006-12-11 |
| 1477649556 | Timothy R Kuntz | Dentist | 3012 Hamilton Blvd, Sioux City, IA 51104 | 2006-10-05 |
| 1528162732 | Duane Kent Nelson | Orthopaedic Surgery | 2800 Peirce St, Suite 101, Sioux City, IA 51104 | 2006-09-08 |
| 1659482206 | Shawn R Walton | Dentist | 2928 Hamilton Blvd, Suite 102, Sioux City, IA 51104 | 2006-08-31 |
| Find all providers in zip 51104 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823339 | Julie Jorstad | Counselor | 505 5th St Ste 700, Sioux City, IA 51101-1509 | 2020-08-26 |
| 1699268326 | Richard W Mechikoff | Counselor | 800 5th St Ste 200, Sioux City, IA 51101-1324 | 2018-06-07 |
| 1679081194 | Morgan Marie O'hern | Counselor | 2801 S Glass St, Sioux City, IA 51106-3309 | 2018-01-18 |
| 1003366329 | Jacob Jerry Jackson | Counselor | 1700 Helmer St, Sioux City, IA 51103-2834 | 2016-10-11 |
| 1508212085 | Brianna Steffe | Counselor | 3200 W 4th St, Sioux City, IA 51103-3204 | 2016-05-13 |
| 1891157137 | Thomas Jaynes | Counselor | 1800 Grandview Blvd, Sioux City, IA 51105-1026 | 2016-03-25 |
| 1073975587 | Clint Eastling | Counselor | 2325 Douglas St, Sioux City, IA 51104-3830 | 2016-03-23 |
| 1467813477 | Julie Burke | Counselor | 3232 W 4th St, Sioux City, IA 51103-3204 | 2016-03-18 |
| 1124403654 | Nicole Anne Keegan | Counselor | 1221 Pierce Street, Sioux City, IA 51105 | 2015-07-27 |
| 1063800456 | Whitney Ingram | Counselor | 4400 Morningside Ave, Sioux City, IA 51106-2950 | 2015-01-07 |
| Find all providers in SIOUX CITY | ||||
| City | SIOUX CITY |
| Zip Code | 51104 |
Please comment or provide details below to improve the information on MELISSA DEROOS.
| 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.