Active NPI
Melissa Lloy Sellers, RN
- Infection Control Registered Nurse
- Jackson, TN
National Provider Identifier
1174257083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infection Control Registered Nurse
- License
- RN0000077991
- Practice address
- 295 Summar Dr
Jackson, TN 38301-3905 - Phone
- (731) 423-6600
- NPI assigned
- Jul 15, 2022
- 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 |
|---|---|---|---|---|
| Infection Control Registered Nurse | 163WI0600X | RN0000077991 | TN | Primary |
Addresses
Primary practice location
295 Summar Dr
Jackson, TN 38301-3905
Mailing address
295 Summar Dr
Jackson, TN 38301-3905
Phone (731) 421-6758
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 |
|---|---|---|---|
| RN0000077991 | TN | MD | Infection Control Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1174257083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 SUMMAR DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013905",
"telephone_number": "731-421-6758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 SUMMAR DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013905",
"telephone_number": "731-423-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERS",
"first_name": "MELISSA",
"middle_name": "LLOY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-15",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WI0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infection Control",
"state": "TN",
"license": "RN0000077991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
- Select Specialty Hospital - West Tennessee, LLC
- Amelia G. Self, M.D.
- David L. Self Jr., M.D.
- Elizabeth Ann Sellari, LPC-MHSP
- Brian Lee Sellers, OD
- Semmes-Murphey Clinic PC
- Senior Resource Center, LLC (Home Instead Senior Care)
- Meagan Meketi Seratt, DNP, APRN, CRNA
- Serentiy Living Homecare
- Fred J Sesti, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.