MRS. MELODY FELISSA JACKSON (NPI# 1902203557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902203557 |
| Entity Type | Individual |
| Full Name | MRS. MELODY FELISSA JACKSON |
| Other Name | MS. MELODY FELISSA MILLER |
| Practice Address |
1611 Nw 12th Ave Miami FL 33136-1005 |
| Mailing Address |
21150 Ne Miami Ct Miami Gardens FL 33179-1033 |
| Practice Telephone | 3055855143 |
| Mailing Telephone | 3055855143 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
211763 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619216413 | Melody Jackson | Social Worker | 1263 Prince Dr, South Holland, IL 60473-1128 | 2013-02-14 |
| 1861605339 | Melody Lyn Jackson | Dental Hygienist | 630 Broadview St, Spring Valley, CA 91977-5522 | 2007-05-08 |
| 1841790524 | Melody Jackson | Counselor | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2018-02-19 |
| 1881149029 | Melody Jackson | Chiropractor | 1325 Eastmoreland Ave, Suite 425, Memphis, TN 38104-3519 | 2016-08-17 |
| 1215282181 | Melody Jackson | Home Health Aide | 7506 Georgia Ave Nw, Washington, DC 20012-1608 | 2012-07-17 |
| 1669506218 | Melody V Jackson | Counselor | 35 K St Ne, Washington, DC 20002-4216 | 2007-03-15 |
| Street Address |
1611 NW 12TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286251 | Karen Chitty | Emergency Medicine | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2005-06-21 |
| 1558968263 | Natalie Dinger | Nurse Practitioner | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-10-06 |
| 1306452057 | Ryan M Bukhari | Dentist | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-09-18 |
| 1467068155 | Hussien Touny | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-09-18 |
| 1912512310 | Clementina Aurora Cabrera | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-09-11 |
| 1184237265 | Kencya Toussaint | Nurse Practitioner | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-08-28 |
| 1568075976 | Manuel Molina | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-08-25 |
| 1063025468 | Carlos Federico Moral Ortega | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1096 | 2020-08-25 |
| 1770195919 | Ezekiel Oluwasayo Ijaopo | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-08-19 |
| 1568070258 | Virosh Dharmadasa | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1043232630 | Dolores Selena Serrecchia | Registered Nurse | 1477 Nw 8th Ave, Miami, FL 33136-1425 | 2006-07-24 |
| 1447895990 | Rocio Belen Scavino | Registered Nurse | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2019-11-07 |
| 1356986806 | Angela Marie Zimmerman | Registered Nurse | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2019-11-07 |
| 1831300193 | Linda Charlotte Nylander-housholder | Registered Nurse | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2007-05-25 |
| 1790710663 | Ellen M White | Registered Nurse | 1601 Nw 12th Ave, Miami, FL 33101-6960 | 2006-07-11 |
| 1679508535 | Alma Vega | Registered Nurse | 1601 Nw 12th Ave, Box 016960 M851, Miami, FL 33101-6960 | 2006-07-11 |
| 1275560922 | Ann Britt Bennett I | Registered Nurse | 1601 Nw 12th Ave, Box 016960 M851, Miami, FL 33101-6960 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437701695 | Kristine Gromlovits | Registered Nurse | 210 N Palmetto Ave Ste A-102, Daytona Beach, FL 32114-7521 | 2019-07-09 |
| 1245890482 | Jordan Najjar | Registered Nurse | 1078 Jeffery St, Boca Raton, FL 33487-4110 | 2019-06-19 |
| 1740742006 | Suzan Tamesha Edwards | Registered Nurse | 2028 Winners Cir, North Lauderdale, FL 33068-5447 | 2019-04-04 |
| 1386164291 | Just In Time Nursing, Inc | Registered Nurse | 2100 S. Ocean Blvd, Suite# 106n, Palm Beach, FL 33480-5207 | 2017-06-21 |
| 1346773900 | Christiane Previlma | Registered Nurse | 2006 Cross Breeze Dr, Wellington, FL 33414-8075 | 2017-04-10 |
| 1871830588 | Nancy Carol Gonzalez | Registered Nurse | 11946 Sw 54th St, Cooper City, FL 33330-4242 | 2013-01-15 |
| 1558637009 | Kayse Mcgovern | Registered Nurse | 2505 Junior St, Orange City, FL 32763-8000 | 2012-03-29 |
| 1295961324 | Rosalee Cipolla | Registered Nurse | 7847 Oregold Dr, New Port Richey, FL 34654-6363 | 2009-06-03 |
| 1003055955 | Lissa West | Registered Nurse | 3606 Maclay Blvd Ste 102, Tallahassee, FL 32312 | 2009-02-17 |
| 1922287549 | Patricia R Burt | Registered Nurse | 1688 W Granada Blvd Ste 2b, Ormond Beach, FL 32174-1818 | 2007-10-31 |
| Find all providers with the same taxonomy | ||||
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| 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.