MELISSA LEE MATHIAS


Address: 10 Mulligan Drive, Petersburg, WV 26847-1511
Phone: 3042572451

MELISSA LEE MATHIAS (NPI# 1801146071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801146071
Entity Type Individual
Full Name MELISSA LEE MATHIAS
Credential FNP-BC
Practice Address 10 Mulligan Drive
Petersburg
WV 26847-1511
Mailing Address 3647 Us Highway 220 N
Moorefield
WV 26836-8643
Practice Telephone 3042572451
Mailing Telephone 3045383131
Enumeration Date 2012-09-14
Last Update Date 2015-05-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
71048 WV Physician Assistants & Advanced Practice Nursing Providers

Other Providers MELISSA MATHIAS

NPI Name Taxonomy Address Enumeration
1235773995 Melissa Mathias Nurse Practitioner 8355 Rockville Rd Ste 120, Indianapolis, IN 46234-2722 2019-11-05
1841589082 Melissa Divya Mathias Student in an Organized Health Care Education/Training Program 1935 Medical District Dr, Graduate Medical Education, Dallas, TX 75235-7701 2011-03-28

Office Location

Street Address 10 MULLIGAN DRIVE
City PETERSBURG
State WV
Zip Code 26847-1511

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720688419 Kimberly Dawn Runion Technician 791 Cave Mtn Rd, Petersburg, WV 26847 2020-10-30
1417568445 Sandra Shook Technician 145 Army Lane, Petersburg, WV 26847 2020-08-13
1023590874 Milas Robertson Registered Nurse 117 Hospital Drive, Petersbirg, WV 26847 2018-08-29
1043723851 Cathy Lynn Arbogast Technician 6114 Rig Road, Rig, WV 26847 2017-11-15
1497028500 Fort Ashby Business Associates, Inc. Hearing Aid Equipment 141 Water Street, Moorefield, WV 26847 2012-02-21
1770856882 Fort Ashby Business Associates, Inc Durable Medical Equipment & Medical Supplies 1045 North Fork Highway, Petersburg, WV 26847 2012-02-21
1518278118 Amanda Marie Borror Obstetrics & Gynecology 65 Hospital Dr Ste 104, Petersburg, WV 26847 2010-06-29
1700055365 Grant County Board of Education Local Education Agency (LEA) 204 Jefferson Avenue, Grant County Board of Education, Petersburg, WV 26847 2008-02-27
1679741664 Andrea D Brogan Speech-Language Pathologist Grant County Board of Education, 204 Jefferson Avenue, Petersburg, WV 26847 2008-02-13
1538347943 Larry C. Rogers Family Medicine Memorial Dr, Petersburg, WV 26847 2008-02-07
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396342895 Stacey Reynolds Dahl Nurse Practitioner 103 Fram Treet, Petersburg, AK 99833-0589 2020-10-07
1992269286 Angela Hooe Nurse Practitioner 601 Old Wagner Rd Ste 100, Petersburg, VA 23805-9313 2019-01-30
1902390982 Haneefah Omega Henry Rhodes Nurse Practitioner Vsu Health Center 1 Hayden Dr, Petersburg, VA 23806-0001 2018-06-21
1265936454 Angela Marie Jeter Nurse Practitioner 3471 Woolper Rd, Petersburg, KY 41080-9764 2018-03-21
1205347846 Bethany Kinney Nurse Practitioner 4100 W Rauch Rd, Petersburg, MI 49270-9800 2017-10-23
1801244165 Tonya Shah Nurse Practitioner 601 Old Wagner Rd Ste 101, Petersburg, VA 23805-9313 2016-05-27
1548411879 Lynette Galloway Branch Nurse Practitioner Virginia State University Student Health, 1 Hayden Drive, Petersburg, VA 23806-0001 2008-10-06
1922215128 Vicky Nell Groce Nurse Practitioner 212 South Public Square, Petersburg, TN 37144-0093 2007-05-17
1134298995 Becky J Calhoun Harman Nurse Practitioner 100 Hospital Dr Ste 1, Petersburg, WV 26847 2006-11-07
1184605321 Hannelore Barbara Mancil Nurse Practitioner 1730 Arch St, Petersburg, VA 23805-1620 2005-11-07
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Competitor

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City PETERSBURG
Zip Code 26847

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Dataset Information

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.

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