Active NPI
Melissa Rae Toombs, CRNP
- Family Nurse Practitioner
- Dothan, AL
National Provider Identifier
1104297415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-129771
- Practice address
- 1500 Ross Clark Cir
Dothan, AL 36301-4754 - Phone
- (334) 793-2663
- Fax
- (334) 836-2247
- NPI assigned
- Oct 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-129771 | AL | Primary |
Addresses
Primary practice location
1500 Ross Clark Cir
Dothan, AL 36301-4754
Mailing address
PO Box 729
Dothan, AL 36302-0729
Phone (334) 793-2663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-129771 | AL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1104297415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 729",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363020729",
"telephone_number": "334-793-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363014754",
"telephone_number": "334-793-2663",
"fax_number": "334-836-2247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOOMBS",
"first_name": "MELISSA",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-13",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-129771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.