Tina Mellesmoen, RN

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

241264 Issued in TN

Practice address

201 W Liberty Ave Ste 101
Covington, TN 38019-2500

Phone

(901) 296-8006

NPI assigned

Feb 10, 2025

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

Other names 1

• Tina Gayler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1073328936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W LIBERTY AVE STE 101",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380192500",
            "telephone_number": "901-296-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W LIBERTY AVE STE 101",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380192500",
            "telephone_number": "901-296-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLESMOEN",
        "first_name": "TINA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "TN",
            "license": "241264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "GAYLER",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Carol A Miller
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• Infusion Therapy Registered Nurse in Covington, TN
• Providers in Covington, TN by specialty
• Infusion Therapy Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.