Active NPI
Melinda Anne Harris-Moulton, MSN, ARNP, FNP-C
- Family Nurse Practitioner
- Olympia, WA
National Provider Identifier
1013296128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP 60238471
- Practice address
- 5201 Dolphin LN NW
Olympia, WA 98502-9226 - Phone
- (360) 866-8143
- NPI assigned
- Aug 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP 60238471 | WA | Primary |
Addresses
Primary practice location
5201 Dolphin LN NW
Olympia, WA 98502-9226
Mailing address
PO Box 89
Chehalis, WA 98532-0089
Phone (360) 740-0888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2034229 | Medicaid | WA |
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
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP 60238471 | WA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1013296128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 89",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985320089",
"telephone_number": "360-740-0888",
"fax_number": "360-740-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 DOLPHIN LN NW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985029226",
"telephone_number": "360-866-8143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS-MOULTON",
"first_name": "MELINDA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "MSN, ARNP, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-05",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP 60238471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2034229",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.