Melissa Marie Manuel, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R836903 Issued in MS

Practice address

1006 Treetops Blvd
Suite 102
Flowood, MS 39232-7645

Phone

(601) 939-1808

Fax

(601) 939-3828

NPI assigned

Jun 19, 2012

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)

Enrolled

Credentials

Nurse Practitioner

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.

• Somnus Sleep Clinic of Central Mississippi, LLC

  • Specialist
  • Flowood, MS
  • NPI 1710903380
  NPD (past)

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1093078628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 TREETOPS BLVD",
            "address_2": "SUITE 102",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327645",
            "telephone_number": "601-939-1808",
            "fax_number": "601-939-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 TREETOPS BLVD",
            "address_2": "SUITE 102",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327645",
            "telephone_number": "601-939-1808",
            "fax_number": "601-939-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R836903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Powell Malone, R.N.F.A.
• Jacob Byron Maloney, FNP-C
• Dametra Mangum, FNP
• Manisha Pradhan, DMD, P.C.
• Dev Anand Manisundaram, M.D.
• Mardot Professional Services
• Gloria Howard Martin, PH.D.
• Jill Martin, PHARM.D.
• Margaret Lane Martin, LPC
• Anuj Marya, MD

• Family Nurse Practitioner in Flowood, MS
• Providers in Flowood, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.