Active NPI
Mary Melissa Gates, RN
- Community Health Registered Nurse
- Alexandria, LA
National Provider Identifier
1053824409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN136120
- Practice address
- 5604 Coliseum Blvd Ste a
Alexandria, LA 71303-3993 - Phone
- (318) 487-5282
- NPI assigned
- Nov 8, 2017
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN136120 | LA | Primary |
Addresses
Primary practice location
5604 Coliseum Blvd Ste a
Alexandria, LA 71303-3993
Mailing address
5604 Coliseum Blvd Ste a
Alexandria, LA 71303-3993
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN136120 | LA | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1053824409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5604 COLISEUM BLVD STE A",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5604 COLISEUM BLVD STE A",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033993",
"telephone_number": "318-487-5282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "MARY",
"middle_name": "MELISSA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-08",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "LA",
"license": "RN136120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.