Mellisa Perry, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

1165520 Issued in KY

Practice address

1220 Greenup Ave
Ashland, KY 41101-7525

Phone

(606) 393-1165

NPI assigned

Feb 10, 2020

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Crossroads Treatment Center of Ashland, PSC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ashland, KY
  • NPI 1346745718
  NPD (past)

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1073145751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PARKER LN",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403518071",
            "telephone_number": "606-776-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 GREENUP AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017525",
            "telephone_number": "606-393-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MELLISA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "1165520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felecia Pennington
• John William Pennington
• Madison Pennington
• Kayli Perkins, CSA
• Charles McCrory Perme, M.D.
• Stephanie Perry, BS
• Tonya M Perry, BA
• Judith Terry Petrella, MD
• Melody Pewitt, LPCC
• Joshua Aaron Phelps, MD

• Addiction (Substance Use Disorder) Registered Nurse in Ashland, KY
• Providers in Ashland, KY by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.