Melissa Felowitz, RN

Key facts

NPI

1083972558

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

041355184 (IL)

Practice address

209 NW 11TH St
Fairfield, IL 62837-1218

Phone

(618) 842-4470

NPI assigned

May 2, 2012

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 2, 2012.

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1083972558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "628220155",
            "telephone_number": "618-724-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NW 11TH ST",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628371218",
            "telephone_number": "618-842-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELOWITZ",
        "first_name": "MELISSA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041355184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fairfield Memorial Hospital Association
• Fairfield School District 12
• Fairfield Senior Living & Rehabilitation LLC
• Erica T Fearday, NP
• Leyth Fenton
• Ryan Douglas Ferguson
• Emma Funk, PA-C
• Nicole Fyie, M.D.
• Melissa D. Gibbs, LPN

All providers in Fairfield, IL · Registered Nurse in Illinois