Individual provider Active NPI

Melanie King, RN, MSN ACNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Batesville, MS
National Provider Identifier
1235414145
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
851239 Issued in MS
Practice address
590 Highway 6 E
Batesville, MS 38606-3002
Phone
(662) 563-8703
Fax
(662) 563-7736
NPI assigned
Oct 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 851239 MS
Acute Care Nurse Practitioner 363LA2100X R851239 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 851239 MS Primary

Addresses

Primary practice location

590 Highway 6 E
Batesville, MS 38606-3002

Mailing address

590 Highway 6 E
Batesville, MS 38606-3002
Phone (662) 563-8703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
851239MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Leflore Hospital CurrentSince Apr 17, 2013 Accepting new patients
Greenwood Leflore Hospital PastSince Apr 17, 2013 Accepting new patients
Cleveland Medical Clinic PLLC Past Accepting new patients

Locations

1401 River Rd
Rm 442
Greenwood, MS 38930
Phone (662) 459-7149

1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603

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": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1235414145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 HIGHWAY 6 E",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386063002",
            "telephone_number": "662-563-8703",
            "fax_number": "662-563-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 HIGHWAY 6 E",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386063002",
            "telephone_number": "662-563-8703",
            "fax_number": "662-563-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MELANIE",
        "credential": "RN, MSN ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "851239",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "R851239",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "851239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, MS

Sources for this page

Verify at the official NPI Registry.