Melissa Littell, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601007156 Issued in MI

Practice address

17200 Silver Pkwy
Fenton, MI 48430-4437

Phone

(810) 714-9660

Fax

(810) 714-9661

NPI assigned

Sep 12, 2014

Last updated

Apr 16, 2015By the provider in NPPES

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

Other names 1

• Melissa Mora Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melissalittell@pfmc.allscriptsdirect.net

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.

• Parkway Family Medicine PLLC

  • Family Medicine Physician
  • Fenton, MI
  • NPI 1497880249
  NPD

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1083015788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191455",
            "telephone_number": "810-424-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 SILVER PKWY",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484304437",
            "telephone_number": "810-714-9660",
            "fax_number": "810-714-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTELL",
        "first_name": "MELISSA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MORA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leroy Pharmacy LLC (Leroy Pharmacy)
• Liberty House Recovery Center LLC
• Athena Elena Lievense, CRNA
• Lilac Developmental Health LLC
• Caleb Lindstrom, DO
• Sarah Ann Livingston, LLP
• Savanna Loafman, LLP
• Marc Longe, DDS
• Susan H Longe, MD
• Lorday Systems, Inc. (Miracle-Ear Hearing Aid Centers)

• Physician Assistant in Fenton, MI
• Providers in Fenton, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.