Active NPI
Nadia Melton, ATC LAT
- Athletic Trainer
- Chesterfield, MO
National Provider Identifier
1043769854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2012012185
- Practice address
- 14532 S Outer 40 Rd
Chesterfield, MO 63017-5705 - Phone
- (314) 514-3500
- NPI assigned
- Sep 22, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2012012185 | MO | Primary |
Addresses
Primary practice location
14532 S Outer 40 Rd
Chesterfield, MO 63017-5705
Mailing address
1486 Soaring Eagle Dr
O Fallon, MO 63366-5997
Phone (636) 485-7176
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012012185 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1043769854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1486 SOARING EAGLE DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633665997",
"telephone_number": "636-485-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14532 S OUTER 40 RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175705",
"telephone_number": "314-514-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "NADIA",
"credential": "ATC LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-22",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2012012185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.