MELLISSA HENRY (NPI# 1881240547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881240547 |
| Entity Type | Individual |
| Full Name | MELLISSA HENRY |
| Credential | FNP |
| Practice Address |
3742 Green Ave Apt 3 Los Alamitos CA 90720-3256 |
| Practice Telephone | 9097586040 |
| Mailing Telephone | 9097586040 |
| Enumeration Date | 2019-08-17 |
| Last Update Date | 2019-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 520316 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
14009 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3742 GREEN AVE APT 3 |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720-3256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
| 1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
| 1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
| 1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| Find all providers in zip 90720 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201950 | Suna Huynh Chang | Nurse Practitioner | 11321 Donovan Rd, Los Alamitos, CA 90720-2931 | 2020-10-02 |
| 1134691124 | Socal Behavioral Medicine | Nurse Practitioner | 10931 Cherry St Ste 201, Los Alamitos, CA 90720-2496 | 2019-01-01 |
| 1437674348 | Maricruz Suber | Nurse Practitioner | 4288 Katella Ave, Los Alamitos, CA 90720-3562 | 2017-08-11 |
| 1942680533 | An Thuy Tran | Nurse Practitioner | 3801 Katella Ave Ste 330, Los Alamitos, CA 90720-6900 | 2015-06-09 |
| 1427346667 | Kristen Lee Jones | Nurse Practitioner | 3851 Katella Ave Ste 100, Los Alamitos, CA 90720-3385 | 2011-07-20 |
| 1134784200 | Sean Lee | Nurse Practitioner | 4288 Katella Ave, Los Alamitos, CA 90720-3562 | 2019-05-04 |
| 1417510199 | Maria Saquic | Nurse Practitioner | 4288 Katella Ave, Los Alamitos, CA 90720-3562 | 2019-04-17 |
| 1205392867 | Christine Nguyen | Nurse Practitioner | 3801 Katella Ave Ste 222, Los Alamitos, CA 90720-3365 | 2019-02-19 |
| 1417428731 | Vinita R Kothari | Nurse Practitioner | 4288 Katella Ave, Los Alamitos, CA 90720-3562 | 2018-12-13 |
| 1174025886 | Diana Lynne Williams | Nurse Practitioner | 4288 Katella Ave, Los Alamitos, CA 90720-3562 | 2018-03-08 |
| Find all providers in LOS ALAMITOS | ||||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
Please comment or provide details below to improve the information on MELLISSA HENRY.
| 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.