MELISSA CATHERINE STATHAM (NPI# 1811906423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811906423 |
| Entity Type | Individual |
| Full Name | MELISSA CATHERINE STATHAM |
| Credential | FNP |
| Practice Address |
436 5th & Ted Stevens Way Kotzebue AK 99752-0043 |
| Mailing Address |
Po Box 1089 Kotzebue AK 99752-1089 |
| Practice Telephone | 9074423321 |
| Practice Fax Number | 9074427250 |
| Mailing Telephone | 9074422544 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2012-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
922 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 1780614008 | 05 | |
| AZ | 1871523191 | 05 | |
| AZ | 1295993376 | 05 | |
| AZ | 1629236716 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154522944 | Melissa Mccarty Statham | Otolaryngology | 3400 Old Milton Pkwy Ste C465, Alpharetta, GA 30005-4429 | 2007-05-30 |
| Street Address |
436 5TH & TED STEVENS WAY |
| City | KOTZEBUE |
| State | AK |
| Zip Code | 99752-0043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992789002 | Robert Perchik | Emergency Medicine | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2005-12-01 |
| 1154706703 | Amy June Carter | Community Health Worker | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2015-07-24 |
| 1306221239 | Vivian Belle Shellabarger | Community Health Worker | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2015-07-21 |
| 1386028876 | Natasha Cannon | Community Health Worker | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2015-07-14 |
| 1487058152 | Elsie Mary Dexter | Community Health Worker | 436 5th & Ted Stevens Way, Maniilaq Health Center, Kotzebue, AK 99752-0043 | 2014-10-09 |
| 1841629375 | John Daniel Parr | Emergency Medicine | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2013-11-05 |
| 1932476413 | June T Ballot | Community Health Worker | 436 5th & Ted Stevens Way, Box 43, Kotzebue, AK 99752-0043 | 2011-11-28 |
| 1750667994 | Sheila Ann Gregg | Community Health Worker | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2011-11-02 |
| 1689956484 | Hans Justin Hansen | Physical Therapist | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2011-09-16 |
| 1760666051 | Erick Torres Semprit | Family Medicine | 436 5th & Ted Stevens Way, Kotzebue, AK 99752-0043 | 2007-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770103731 | Breanna Rosales | Counselor | 433 5 Th Ave, Kotzebue, AK 99752 | 2020-04-20 |
| 1679118814 | Verna Mariam Sherman | Case Manager/Care Coordinator | 733 2nd Ave., Kotzebue, AK 99752 | 2019-11-12 |
| 1568979565 | John Steven Ferraro | Counselor | 733 2'nd Ave, Kotzebue, AK 99752 | 2017-12-29 |
| 1528585494 | Guardian Flight LLC | Ambulance | Teacher Housing Apt # 18 Lagoon Street, Kotzebue, AK 99752 | 2017-08-23 |
| 1366998114 | Alaskans Changing Together, Inc. | Counselor | 241 5th Ave, Kotzebue, AK 99752 | 2016-08-31 |
| 1205236692 | Kimberly Baldwin | Dental Therapist | 436 5th Ave Ted Stevens Way, Kotzebue, AK 99752 | 2014-09-04 |
| 1811309040 | Sylvia Michelle Windham | Advanced Practice Midwife | 436 5th Avenue and Ted Stevens Way, Kotzebue, AK 99752 | 2014-05-22 |
| 1881941193 | Belynda M. Gregg | Case Manager/Care Coordinator | 256 2nd Ave, F.r. Ferguson Building, Kotzebue, AK 99752 | 2012-08-07 |
| 1689932436 | Srikanth Rao Dakoji | Family Medicine | 479 Mission St, Apt C8, Kotzebue, AK 99752 | 2012-04-30 |
| 1932434792 | Joseph E Copeland | Family Medicine | Maniilaq Healh Center, Box 43, Kotzebue, AK 99752 | 2009-10-13 |
| Find all providers in zip 99752 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011005 | Walter Tanner | Nurse Practitioner | 436 5th Avenue, Kotzebue, AK 99752 | 2020-10-21 |
| 1285156448 | Michael Dwayne Steward | Nurse Practitioner | 436 5th Ave, Kotzebue, AK 99752 | 2017-07-10 |
| 1801040811 | Kristen M Hammer | Nurse Practitioner | 436 5th and Ted Stevens Way, Kotzebue, AK 99752 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355390 | Delia M. Reyes | Nurse Practitioner | 705 2nd St., Cordova, AK 99574 | 2020-10-29 |
| 1396342895 | Stacey Reynolds Dahl | Nurse Practitioner | 103 Fram Treet, Petersburg, AK 99833-0589 | 2020-10-07 |
| 1912514647 | Kaveri Bharti | Nurse Practitioner | 2900 Morgan Loop, Anchorage, AK 99516-1427 | 2020-09-27 |
| 1831709070 | China Kay Larson | Nurse Practitioner | 9402 Endicott St, Anchorage, AK 99502-1342 | 2020-08-03 |
| 1144847021 | Stephanie Anne Olah Packard | Nurse Practitioner | 6929 Crawford St, Anchorage, AK 99502-2728 | 2020-06-26 |
| 1134743370 | Matthew G Horgan | Nurse Practitioner | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0827 | 2020-06-03 |
| 1417585902 | Shelley Wantaja | Nurse Practitioner | 689 E Eklutna St, Palmer, AK 99645-6116 | 2020-03-30 |
| 1437787363 | Naomi Tonje Johnson | Nurse Practitioner | 5428 E Rebecca Nicole St Unit C, Wasilla, AK 99654-0002 | 2020-03-27 |
| 1235789322 | Halley Marie Fondren | Nurse Practitioner | Page Street, Soldotna, AK 99669-2634 | 2019-09-19 |
| 1710535380 | Peter Harvey | Nurse Practitioner | 755 Knightsbridge Rd, Fairbanks, AK 99709-2477 | 2019-08-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MELISSA CATHERINE STATHAM.
| 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.