Melissa Sue Brock, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

213746 Issued in LA

Practice address

139 Aaron Rd
West Monroe, LA 71292-3384

Phone

(318) 381-0295

NPI assigned

Jun 17, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Applegate Health Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Slidell, LA
  • NPI 1699396085
  NPD (past)
• Applegate Health Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Monroe, LA
  • NPI 1801326723
  NPD (past)
• Applegate Health Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lake Charles, LA
  • NPI 1346775210
  NPD (past)
• Applegate Health Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bossier City, LA
  • NPI 1710412960
  NPD (past)

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1174149090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 AARON RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712923384",
            "telephone_number": "318-381-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 AARON RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712923384",
            "telephone_number": "318-381-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "213746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Brass, FNP
• Lisa Renee Brazzel, LPC, LMFT
• Brian Moore Family Nurse Practitioner, LLC
• Millicent Bridges-Johnson
• Quintina Broadnax
• Tracy Calhoun Brooks, LOTR
• Brookshire Grocery Company
• Brookshire Grocery Company
• Zoe Broussard
• Alexis Brown, LPC

• Family Nurse Practitioner in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.