Individual provider Active NPI

Melissa Joy Woodson, RN

  • School Registered Nurse
  • Gering, NE
National Provider Identifier
1003422411
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
85911 Issued in NE
Practice address
Gering Junior High School
800 Q Street
Gering, NE 69341
Phone
(308) 436-3123
Fax
(308) 436-6010
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 85911 NE Primary

Addresses

Primary practice location

Gering Junior High School
800 Q Street
Gering, NE 69341

Mailing address

Gering Public School District
519 10TH St
Gering, NE 69341
Phone (308) 463-3123

Other identifiers 1

IdentifierTypeStateIssuer
47-6005311MedicaidNE

Other names 1

  • Melissa Joy Lana Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
85911NEMDSchool Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1003422411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GERING PUBLIC SCHOOL DISTRICT",
            "address_2": "519 10TH ST",
            "city": "GERING",
            "state": "NE",
            "postal_code": "69341",
            "telephone_number": "308-463-3123",
            "fax_number": "308-436-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GERING JUNIOR HIGH SCHOOL",
            "address_2": "800 Q STREET",
            "city": "GERING",
            "state": "NE",
            "postal_code": "69341",
            "telephone_number": "308-436-3123",
            "fax_number": "308-436-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "MELISSA",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "85911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-6005311",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "LANA",
            "middle_name": "JOY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gering, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.