Melanie V Maze, ANP, BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

080039 Issued in MO

Practice address

400 Medical Plaza
Suite 100
Lake Saint Louis, MO 63367-1395

Phone

(636) 639-8600

Fax

(636) 639-8676

NPI assigned

Aug 12, 2008

Last updated

Sep 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Missouri Cancer Care PC

  • Hematology & Oncology Physician
  • Lake St Louis, MO
  • NPI 1326107871
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1255587127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MEDICAL DRIVE",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "63385",
            "telephone_number": "636-327-1202",
            "fax_number": "363-327-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PLAZA",
            "address_2": "SUITE 100",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671395",
            "telephone_number": "636-639-8600",
            "fax_number": "636-639-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZE",
        "first_name": "MELANIE",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "ANP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "080039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spencer John Mares, FNP-C, AGACNP-BC
• Elise Maria Marker, MD
• Elle Marie Martirez
• Jessica Lee Masulla, PHARMD
• Karalynn Matthews, RN
• Kathleen McCarty, OTA
• Jordan Nicole McCowen, DPT
• Kylie Meier
• Mercy Pharmacy Services LLC (Mercy Pharmacy Lake St. Louis)
• Christopher James Miller, MD

• Adult Health Nurse Practitioner in Lake Saint Louis, MO
• Providers in Lake Saint Louis, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.