Melissa K Goldsberry, LPN
Individual provider Active NPI Licensed Practical Nurse · Hamersville, OH
NPI 1194078725 · NPPES record last updated Oct 19, 2012
Key facts
- NPI
- 1194078725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 110747 (OH)
- Practice address
- 9167 State Route 505
Hamersville, OH 45130-8423 - Phone
- (812) 216-9844
- NPI assigned
- Oct 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110747 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 110747 | OH | Yes |
Addresses
Primary practice location
9167 State Route 505
Hamersville, OH 45130-8423
Mailing address
9167 State Route 505
Hamersville, OH 45130-8423
Phone (812) 216-9844
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110747 | Other | OH | OHIO BOARD OF NURSING |
Other providers in Hamersville, OH
- Robert Lynn Decker
- Leanna T Delaney
- Melanie Lynn Donaldson
- Kaitlyn E Fite
- Brandon Frasure
- Lisa G Griffey
- Lori Ann Gruen
- Amy R Hale Daye
- Christa Healey
- Destiny Lynn Jeffers
All providers in Hamersville, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.