Active NPI
Melissa Anne Daffinson Wallingsford, OTRL
- Occupational Therapist
- Murfreesboro, TN
National Provider Identifier
1225258346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 853
- Practice address
- 1927 Memorial Blvd
Murfreesboro, TN 37129 - Phone
- (615) 904-9111
- Fax
- (615) 867-5223
- NPI assigned
- Apr 30, 2007
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 853 | TN | Primary |
Addresses
Primary practice location
1927 Memorial Blvd
Murfreesboro, TN 37129
Mailing address
4272 Brackenwood Drive
Old Hickory, TN 37138
Phone (615) 847-8861
Other names 1
- Miss Melissa Anne Daffinson
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 853 | TN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225258346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4272 BRACKENWOOD DRIVE",
"city": "OLD HICKORY",
"state": "TN",
"postal_code": "37138",
"telephone_number": "615-847-8861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1927 MEMORIAL BLVD",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "37129",
"telephone_number": "615-904-9111",
"fax_number": "615-867-5223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLINGSFORD",
"first_name": "MELISSA",
"middle_name": "ANNE DAFFINSON",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "DAFFINSON",
"middle_name": "ANNE",
"prefix": "MISS",
"credential": "OTRL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.