Melissa Joy Bourne, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

45768 Issued in WV

Practice address

1908 Glenwood Park Rd
Princeton, WV 24739-7969

Phone

(304) 325-6202

Fax

(304) 323-2307

NPI assigned

Sep 8, 2023

Last updated

Sep 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stonerise Reliable Healthcare LLC

  dba Stonerise Home Health

  • Home Health Agency
  • Princeton, WV
  • NPI 1740709146
  NPD (past)

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1013794643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 GLENWOOD PARK RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247397969",
            "telephone_number": "304-325-6202",
            "fax_number": "304-323-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 GLENWOOD PARK RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247397969",
            "telephone_number": "304-325-6202",
            "fax_number": "304-323-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "MELISSA",
        "middle_name": "JOY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WV",
            "license": "45768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josiah Bolyard, OD
• Jordyn Boone
• Tina Renee Borich, MA, LPC
• Justice Boswell
• Tasha Boswell
• Donald Eugene Bowen Jr., MS
• Erika Dawn Bowling, MSW
• Gena Bowling
• James Bowling, RN
• Jenna Bowling

• Home Health Registered Nurse in Princeton, WV
• Providers in Princeton, WV by specialty
• Home Health Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.