Active NPI
Melinda Dunavant
- Psychiatric/Mental Health Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 27225
- Practice address
- 951 Court Ave
Memphis, TN 38103-2813 - Phone
- (901) 577-1800
- Fax
- (901) 527-1320
- NPI assigned
- Apr 6, 2020
- Last updated
- Apr 25, 2024
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 27225 | TN | Primary |
Addresses
Primary practice location
951 Court Ave
Memphis, TN 38103-2813
Mailing address
1804 Highway 45 Byp Ste 604
Jackson, TN 38305-4403
Phone (731) 660-7971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA, WV, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
122 12TH St Ext
Princeton, WV 24740-2352
Phone (972) 449-0540
128 Capitol St
Charleston, WV 25301-2610
Phone (866) 959-2008
1333 Southview Dr
Bluefield, WV 24701-4317
Phone (972) 449-0540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare, PLLC | Current | Accepting new patients | |
| Princeton Community Hospital Assn Inc. | Current | Accepting new patients | |
| Forefront Telecare Inc | Current | Accepting new patients | |
| Princeton Community Hospital Assn., Inc | Current | Accepting new patients | |
| Pathways of Tennessee, Inc. | Current | Accepting new patients | |
| Forefront-Rosenzweig Medical Services Professional Corporation | Current | Accepting new patients | |
| Forefront Telecare Medical Services PC | Current | Accepting new patients |
Locations
1012 Marquez Pl
Unit 106B
Santa Fe, NM 87505
Phone (505) 470-8132
238 Summar Dr
Jackson, TN 38301
Phone (731) 541-8200
992 Davidson Dr
Ste B
Nashville, TN 37205
Phone (469) 895-9275
930 Mount Zion Rd
Union City, TN 38261
Phone (731) 885-9333
250 Browns Hill Ct
Midlothian, VA 23114
Phone (424) 328-6526
401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325
1333 Southview Dr
Bluefield, WV 24701
Phone (304) 327-2900
128 Capitol St
Charleston, WV 25301
Phone (276) 979-5390
Organizations & group practices 8
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.
-
- Clinic/Center
- Jackson, TN
- NPI 1497721609
-
- Psychiatry Physician
- Dallas, TX
- NPI 1588101745
TN
-
dba Mercer Medical Group
- Urology Physician
- Princeton, WV
- NPI 1093917643
-
- Internal Medicine Physician
- Bridgeport, WV
- NPI 1760965586
-
dba Bluefield Internal Medicine
- Rural Health Clinic/Center
- Bluefield, VA
- NPI 1235446485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1063041689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 HIGHWAY 45 BYP STE 604",
"city": "JACKSON",
"state": "TN",
"postal_code": "383054403",
"telephone_number": "731-660-7971",
"fax_number": "731-660-8739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 COURT AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032813",
"telephone_number": "901-577-1800",
"fax_number": "901-527-1320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNAVANT",
"first_name": "MELINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-06",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "27225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.