MEGEN YATES MELLOM (NPI# 1972120590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972120590 |
| Entity Type | Individual |
| Full Name | MEGEN YATES MELLOM |
| Credential | FNP-C |
| Practice Address |
2013 Jefferson St Sw Roanoke VA 24014-2419 |
| Practice Telephone | 5409817377 |
| Mailing Telephone | 5409817377 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024179583 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | FNP LICENSE | 0024179583 | 01 |
| Street Address |
2013 JEFFERSON ST SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376986 | Vikram K Chand | Internal Medicine | 2013 Jefferson St Sw, Second Floor, Roanoke, VA 24014-2419 | 2005-06-14 |
| 1639456791 | Jolee M Preston | Nurse Practitioner | 2013 Jefferson St Sw, Roanoke, VA 24014-2419 | 2011-11-03 |
| 1679769079 | Angela Karen Charlton | Dietitian, Registered | 2013 Jefferson St Sw, 1st Floor, Roanoke, VA 24014-2419 | 2007-09-19 |
| 1578779070 | Perri A Spruell | Pharmacist | 2013 Jefferson St Sw, 2nd Floor, Roanoke, VA 24014-2419 | 2007-05-14 |
| 1689614919 | Matthew R Skelton | Internal Medicine | 2013 Jefferson St Sw, Roanoke, VA 24014-2419 | 2006-06-07 |
| 1487621496 | Oncology and Hematology Associates of Southwest Virginia, Inc. | Non-Pharmacy Dispensing Site | 2013 Jefferson St Sw, Second Floor, Roanoke, VA 24014-2419 | 2006-03-08 |
| 1639145642 | Robert C Heath | Radiology | 2013 Jefferson St Sw, First Floor, Roanoke, VA 24014-2419 | 2006-02-28 |
| 1669448692 | Suzan R Merten | Internal Medicine | 2013 Jefferson St Sw, Second Floor, Roanoke, VA 24014-2419 | 2006-02-28 |
| 1104892132 | Stephen H Rosenoff | Internal Medicine | 2013 Jefferson St Sw, Second Floor, Roanoke, VA 24014-2419 | 2006-02-28 |
| 1699741629 | Daniel S Temeles | Internal Medicine | 2013 Jefferson St Sw, Second Floor, Roanoke, VA 24014-2419 | 2006-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638026 | Prasanti Pinnamaraju | Nurse Practitioner | 5324 Fox Ridge Rd, Roanoke, VA 24018-8754 | 2020-10-29 |
| 1912512856 | Jennifer Larson | Nurse Practitioner | 8325 Barrens Rd, Roanoke, VA 24019-6701 | 2020-09-08 |
| 1356953053 | Jamie Brackenrich | Nurse Practitioner | 6994 Dawnwood Rd, Roanoke, VA 24018-6839 | 2020-08-24 |
| 1164044608 | Denise Pollock | Nurse Practitioner | 6032 Matisse Ln, Roanoke, VA 24018-5335 | 2020-05-07 |
| 1538703061 | Erin Moyer Shinault | Nurse Practitioner | 3559 Meadowlark Rd, Roanoke, VA 24018-5007 | 2019-10-28 |
| 1972146421 | Amy Rose Gregor | Nurse Practitioner | 15645 Pioneer Bluff Trl, Roanoke, TX 76262-1799 | 2019-10-28 |
| 1811409402 | Victor Cisneros | Nurse Practitioner | 3535 Franklin Rd Sw, Roanoke, VA 24014-2255 | 2017-11-03 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1578009346 | Debra Jean Massaro | Nurse Practitioner | 123 Sesame St., Roanoke, VA 24011 | 2017-01-17 |
| 1407216831 | Keri Lynn Baker | Nurse Practitioner | 1 Riverside Cir Fl 4, Roanoke, VA 24016-4961 | 2016-02-26 |
| Find all providers in ROANOKE | ||||
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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.