MELISSA D BATES (NPI# 1962571331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962571331 |
| Entity Type | Individual |
| Full Name | MELISSA D BATES |
| Other Name | MELISSA D CUSHMAN |
| Credential | PA |
| Practice Address |
808 Pancheri Dr Idaho Falls ID 93402-3344 |
| Mailing Address |
3450 Potomac Way Idaho Falls ID 83404-4970 |
| Practice Telephone | 2085526900 |
| Practice Fax Number | 2085524973 |
| Mailing Telephone | 2085572900 |
| Mailing Fax Number | 2085572910 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2018-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA513 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807116800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619467909 | Melissa Bates | Homemaker | 915 Nw 1st Ave Apt H1614, Miami, FL 33136-3573 | 2018-05-13 |
| 1124301130 | Melissa Rhea Bates | Midwife | 24906 Cactus Sage Trl, Katy, TX 77494-3038 | 2011-09-26 |
| 1639340532 | Melissa Lee Bates | Massage Therapist | 6481 S M St, Tacoma, WA 98408-3202 | 2008-03-18 |
| 1235645540 | Melissa Bates | Registered Nurse | 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 | 2017-12-21 |
| 1194129957 | Melissa Bates | Registered Nurse | 401 South Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2014-10-22 |
| 1336568567 | Melissa Bates | Counselor | 349 Broadway, Cambridge, MA 02139-1715 | 2014-04-15 |
| 1528352168 | Melissa Ann Bates | Community Health Worker | 2300 Foothill Blvd, Rock Springs, WY 82901-5610 | 2011-05-31 |
| Street Address |
808 PANCHERI DR |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 93402-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316052319 | Bobette R Page | Social Worker | 808 Pancheri Dr, Idaho Falls, ID 83402-3344 | 2006-08-20 |
| 1336339019 | Julia Evalyne Kippen | Social Worker | 808 Pancheri Dr, Idaho Falls, ID 83402-3344 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659890192 | Shawn Michael Bean | Chiropractor | 1806 Doris Ave, Los Osos, CA 93402 | 2017-09-15 |
| 1104260454 | Meghan Elizabeth Mckiernan | Family Medicine | 2238 Bayview Heights Dr Ste G, Los Osos, CA 93402 | 2013-04-17 |
| 1194014654 | Julie Ann Wade | Licensed Practical Nurse | 2033 Andre Avenue, Los Osos, CA 93402 | 2011-04-05 |
| 1962640078 | Andrew Benjamin Bonnett | Counselor | 1685 18th St., Los Osos, CA 93402 | 2009-01-27 |
| 1467634618 | Sattie Moyer Blanton | Marriage & Family Therapist | 2122 9th Street, Suite 110, Los Osos, CA 93402 | 2007-11-29 |
| 1538360649 | Russell Wayne Ball | Family Medicine | 2741 Houston Drive, Los Osos, CA 93402 | 2007-05-29 |
| 1356566145 | Kimberly Theresa Kavanagh | Acupuncturist | 566 Mitchell Drive, Los Osos, CA 93402 | 2007-04-16 |
| 1336266410 | Maxine Ellen Stein | Marriage & Family Therapist | 2055 D 9th Street, Los Osos, CA 93402 | 2007-03-23 |
| 1619000122 | Craig Gordon Loveridge | Dentist | 2238 Bay View Heights Dr, Los Osos, CA 93402 | 2007-03-13 |
| 1386737039 | Jill Marie Bates | Marriage & Family Therapist | 900 Los Osos Valley Road, Suite C, Los Osos, CA 93402 | 2006-10-02 |
| Find all providers in zip 93402 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740646363 | Chad Coon | Physician Assistant | 3405 Merlin Dr, Idaho Falls, ID 83404-7430 | 2016-01-12 |
| 1023489085 | Kelly Meacham | Physician Assistant | 3389 Merlin Dr, Idaho Falls, ID 83404-7405 | 2015-10-15 |
| 1891188348 | Alan Adams | Physician Assistant | 3820 Crestwood Ln, Idaho Falls, ID 83404-4979 | 2015-03-09 |
| 1841460508 | Keri Martin | Physician Assistant | 3360 Washington Parkway, Suite 2, Idaho Falls, ID 83404-2271 | 2008-03-08 |
| 1073676805 | Monica J Nealis | Physician Assistant | 1550 Elk Creek Dr, Idaho Falls, ID 83404-8322 | 2006-12-19 |
| 1639248008 | Lori Ann Woodbury | Physician Assistant | 2327 Coronado St, Idaho Falls, ID 83404-7407 | 2006-11-07 |
| 1093803157 | Tiffany Christiansen | Physician Assistant | 150 Shoup Ave Ste 17, Idaho Falls, ID 83402-3653 | 2006-10-11 |
| 1730190935 | Roger Scott Malm | Physician Assistant | 740 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2006-08-11 |
| 1316985229 | Matthew J Merzlock | Physician Assistant | 3360 Washington Pkwy Ste 1, Idaho Falls, ID 83404-8333 | 2006-06-03 |
| 1649221912 | Matthew R Nelson | Physician Assistant | 2375 E Sunnyside Rd Ste J, Idaho Falls, ID 83404-8281 | 2006-05-12 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 93402 |
Please comment or provide details below to improve the information on MELISSA D BATES.
| 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.