Melissa Mae-Lyn Neimoyer, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

357950-3102 Issued in UT

Practice address

4460 S Highland Drive
Salt Lake City, UT 84124-3503

Phone

(801) 688-8862

NPI assigned

May 11, 2018

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

• None Allen 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": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1093205338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 S. HIGHLAND DRIVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243503",
            "telephone_number": "801-688-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 S HIGHLAND DRIVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243503",
            "telephone_number": "801-688-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIMOYER",
        "first_name": "MELISSA",
        "middle_name": "MAE-LYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "357950-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NONE",
            "last_name": "ALLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Salt Lake City, UT
• Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.