Individual provider Active NPI

Melody Ann McClure, ARNP, NP-C

  • Adult Health Nurse Practitioner
  • Atlantis, FL
National Provider Identifier
1154432466
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP3010562 Issued in FL
Practice address
130 JFK Drive
Suite 134
Atlantis, FL 33462-0014
Phone
(561) 439-0308
Fax
(561) 439-0371
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP3010562 FL Primary

Addresses

Primary practice location

130 JFK Drive
Suite 134
Atlantis, FL 33462-0014

Mailing address

130 John F Kennedy Dr
Suite 134
Atlantis, FL 33462-1141
Phone (561) 439-0308

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Karen J Severson MD PastSince Feb 25, 2008 Accepting new patients
Sentara Medical Group PastSince Jan 14, 2025 Accepting new patients

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1154432466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 JOHN F KENNEDY DR",
            "address_2": "SUITE 134",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621141",
            "telephone_number": "561-439-0308",
            "fax_number": "561-439-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JFK DRIVE",
            "address_2": "SUITE 134",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334620014",
            "telephone_number": "561-439-0308",
            "fax_number": "561-439-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "MELODY",
        "middle_name": "ANN",
        "credential": "ARNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP3010562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.