MISS FAYE JEAN MELLARD (NPI# 1932617503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932617503 |
| Entity Type | Individual |
| Full Name | MISS FAYE JEAN MELLARD |
| Credential | LMT, NMT |
| Practice Address |
237 Scenic Hwy Lawrenceville GA 30046-5621 |
| Mailing Address |
158 Paper Mill Rd Apt 4103 Lawrenceville GA 30046-5345 |
| Practice Telephone | 4047311735 |
| Mailing Telephone | 4046451263 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT004030 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 175T00000X | Peer Specialist | GA | Other Service Providers |
| Street Address |
237 SCENIC HWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215552518 | Kari Renee Burfield | Massage Therapist | 2839 Wynhaven Oaks Way, Lawrenceville, GA 30043-1307 | 2020-06-11 |
| 1497381644 | Heather Klein | Massage Therapist | 20014 State Route 33 E, Lawrenceville, IL 62439-4595 | 2020-03-19 |
| 1306305602 | Demitra Rogers | Massage Therapist | 860 Duluth Hwy Ste 152, Lawrenceville, GA 30043-5336 | 2019-03-16 |
| 1659882405 | Jessica Burrell | Massage Therapist | 845 Montecruz Dr, Lawrenceville, GA 30045-7189 | 2017-10-19 |
| 1316481070 | Shenel Vanterpool | Massage Therapist | 265 Brady Walk, Lawrenceville, GA 30046-8846 | 2016-12-14 |
| 1700235553 | Elizabeth Swain | Massage Therapist | 1746 Hedington Ct, Lawrenceville, GA 30045-3721 | 2016-06-11 |
| 1891106753 | Victoria Hyde | Massage Therapist | 54 Main St., Lawrenceville, PA 16929 | 2014-05-14 |
| 1891118816 | Caryl Sue Fasnacht | Massage Therapist | 2685 Logan Way, Lawrenceville, GA 30043-6111 | 2014-01-27 |
| 1215292834 | The Spahhh, Inc. | Massage Therapist | 1475 Buford Dr Ste 500, Lawrenceville, GA 30043-3798 | 2012-07-10 |
| 1043539224 | Tonya Deon Leary | Massage Therapist | 230 Collins Industrial Way, Lawrenceville, GA 30043-5445 | 2010-05-26 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on MISS FAYE JEAN MELLARD.
| 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.