Individual provider Active NPI

Melanie Manney, APRN

  • Primary Care Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1124584297
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11001286 Issued in FL
Practice address
2 Zuni Cir
Pensacola, FL 32507-8725
Phone
(850) 621-3109
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11001286 FL
Primary Care Nurse Practitioner 363LP2300X APRN11001286 FL Primary

Addresses

Primary practice location

2 Zuni Cir
Pensacola, FL 32507-8725

Mailing address

2 Zuni Cir
Pensacola, FL 32507-8725
Phone (850) 621-3109

Other identifiers 1

IdentifierTypeStateIssuer
1062660MedicaidFL

Other names 1

  • Melanie Williamson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Home Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200528000178 FL Practitioner - Nurse Practitioner 2769526268 Reassigns benefits to 4 organizations
I20211108002200 AL Practitioner - Nurse Practitioner 2769526268 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cogburn Health & Rehabilitation, Inc. CurrentSince Sep 12, 2011 Accepting new patients
Renew Wound Care of Florida LLC CurrentSince Sep 20, 2022 Accepting new patients
Advanced Skin and Wound Care Solutions LLC CurrentSince Apr 24, 2020 Accepting new patients
Florida Post Acute Care Clinicians, LLC CurrentSince Jun 5, 2023 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Jun 5, 2023 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Jun 5, 2023 Accepting new patients
Integrated Wound Care Alabama PLLC CurrentSince Sep 1, 2021 Accepting new patients
Health Providers of America, LLC Primary Care CurrentSince Jan 2, 2023 Accepting new patients
Florida Post Acute Care Clinicians, LLC CurrentSince Jun 5, 2023 Accepting new patients

Locations

641 S Lawrence St
Montgomery, AL 36104
Phone (800) 221-5140

445 Dexter Ave
Ste 4050
Montgomery, AL 36104
Phone (205) 854-1361

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

5888 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 612-7385

3648 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7185

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1780 N Jefferson Hwy
Monticello, FL 32344
Phone (800) 708-4008

1800 NE 168th St
North Miami Beach, FL 33162
Phone (305) 917-1800

1717 W Avery St
Pensacola, FL 32501
Phone (850) 434-2355

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1124584297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ZUNI CIR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078725",
            "telephone_number": "850-621-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ZUNI CIR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078725",
            "telephone_number": "850-621-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNEY",
        "first_name": "MELANIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2022-03-11",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11001286",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11001286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1062660",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Home",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Home",
            "address_1": "2 Zuni Cir",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325078725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "WILLIAMSON",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.