Melissa Pecko Shuleva, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1830 Issued in TN

Practice address

2415 McCallie Ave
Chattanooga, TN 37404-3322

Phone

(423) 624-2696

Fax

(423) 697-2059

NPI assigned

Mar 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: melissa.shuleva@4390.securemail.prognocis.com

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.

• Deroos Family & Pediatric Health Center PC

  • Chiropractor
  • Cleveland, TN
  • NPI 1770613465
  NPD (past)

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1265673552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043322",
            "telephone_number": "423-624-2696",
            "fax_number": "423-697-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043322",
            "telephone_number": "423-624-2696",
            "fax_number": "423-697-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULEVA",
        "first_name": "MELISSA",
        "middle_name": "PECKO",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "PA-626",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "4256870",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518643",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita R. Shridharani, MD
• Angela Michelle Shrum, RN
• Garrett Drake Shrum
• Edwin Haywood Shuck III, MD
• Chelsea Amanda Shugars, MD
• John Albert Shull, M.D.
• Daxia Genee Shultz
• Sarah Alexandria Shultz, FNP-C
• Alexandria Deimling Shumaker, DPT
• Mary Kathleen Shuster, M.D.

• Medical Physician Assistant in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.