Active NPI
Melissa Carol Metcalf, RN
- Registered Nurse
- Maryville, TN
National Provider Identifier
1114066982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN 140115
- Practice address
- 301 McGhee St
Maryville, TN 37801-6811 - Phone
- (865) 983-4582
- Fax
- (865) 681-0079
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 140115 | TN | Primary |
| Registered Nurse | 163W00000X | RN104468 | GA |
Addresses
Primary practice location
301 McGhee St
Maryville, TN 37801-6811
Mailing address
1382 Cloyds Church Rd
Greenback, TN 37742-3027
Phone (865) 216-6890
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN104468 | GA | MD | Registered Nurse |
| RN 140115 | TN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247529600000",
"number": "1114066982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1382 CLOYDS CHURCH RD",
"city": "GREENBACK",
"state": "TN",
"postal_code": "377423027",
"telephone_number": "865-216-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MCGHEE ST",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378016811",
"telephone_number": "865-983-4582",
"fax_number": "865-681-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METCALF",
"first_name": "MELISSA",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2009-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN 140115",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN104468",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.