MRS. MELISSA DUBOIS (NPI# 1871988360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871988360 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA DUBOIS |
| Credential | NP-C |
| Practice Address |
900 Towne Lake Pkwy Ste 410 Woodstock GA 30189-1604 |
| Practice Telephone | 7705172145 |
| Practice Fax Number | 7705172147 |
| Mailing Telephone | 7705172145 |
| Mailing Fax Number | 7705172147 |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN212024 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003164414B | 05 | |
| GA | 003164414A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487996625 | Melissa Shannon Dubois | Registered Nurse | 300 Exempla Cir Ste 360, Lafayette, CO 80026-3395 | 2013-03-26 |
| 1932355856 | Melissa L Dubois | Obstetrics & Gynecology | 1040 Reed Ave, Suite 4, Wyomissing, PA 19610-2029 | 2008-08-12 |
| 1679618169 | Melissa Colleen Knight Dubois | Nurse Practitioner | 55 Fruit St, Mass. General Hospital, Ellison 735, Boston, MA 02114-2621 | 2007-02-21 |
| 1497839617 | Melissa Sue Dubois | Radiology | 9200 W Wisconsin Ave, Department of Radiology, Milwaukee, WI 53226-3522 | 2006-10-24 |
| Street Address |
900 TOWNE LAKE PKWY STE 410 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30189-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629396585 | Lata Parvathaneni | Family Medicine | 900 Towne Lake Pkwy Ste 410, Woodstock, GA 30189-1604 | 2010-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
| Find all providers in zip 30189 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683665 | Ellen Maria Follett | Nurse Practitioner | 1207 Savannah Ln, Woodstock, IL 60098-9002 | 2019-11-11 |
| 1649748096 | Cynthia Moore Brandon | Nurse Practitioner | 1340 Reece Rd, Woodstock, GA 30188-2222 | 2018-11-04 |
| 1922506906 | Mary N. Bedingfield | Nurse Practitioner | 980 Woodstock Pkwy Ste 300, Woodstock, GA 30188-4871 | 2018-01-25 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1578990693 | Ntaobasi Patrick Udeh | Nurse Practitioner | 10679 Hillingdon Rd, Woodstock, MD 21163-1431 | 2013-10-03 |
| 1497373286 | Michelle T Gahgan | Nurse Practitioner | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2020-07-08 |
| 1346891264 | Joanna Hansen | Nurse Practitioner | 3707 Doty Rd Ste G, Woodstock, IL 60098-7530 | 2019-09-23 |
| 1386118792 | Lindzi Erin Lee | Nurse Practitioner | 28921 Highway 5, Woodstock, AL 35188-3613 | 2019-01-18 |
| 1932654563 | Jessica Caroline Mimbs | Nurse Practitioner | 1600 Towne Lake Pkwy, Woodstock, GA 30189-1585 | 2016-08-24 |
| Find all providers in WOODSTOCK | ||||
Please comment or provide details below to improve the information on MRS. MELISSA DUBOIS.
| 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.