Individual provider Active NPI

Melissa Leann Hall, NP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1215032230
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000012172 Issued in TN
Practice address
4355 Highway 58 Ste 101
Chattanooga, TN 37416-2941
Phone
(423) 892-4289
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000012172 TN Primary

Addresses

Primary practice location

4355 Highway 58 Ste 101
Chattanooga, TN 37416-2941

Mailing address

2372 Lifestyle Way
Ste 152
Chattanooga, TN 37421-4940
Phone (706) 937-6099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070821000029 TN Practitioner - Nurse Practitioner 8921190083 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000012172TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Medical of Tennessee PC CurrentSince Apr 25, 2022 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Apr 25, 2022 Accepting new patients
Hospice of Chattanooga, Inc. Past Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

210 Westwood Pl
Ste 110
Brentwood, TN 37027
Phone (615) 206-2462

Interoperability endpoints

  • Direct secure messaging: melhall@landmarkhealth-direct.org

Organizations & group practices 3

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1215032230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2372 LIFESTYLE WAY",
            "address_2": "STE 152",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214940",
            "telephone_number": "706-937-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 HIGHWAY 58 STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374162941",
            "telephone_number": "423-892-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MELISSA",
        "middle_name": "LEANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000012172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.