Individual provider Active NPI

Melissa Kaye Wafford, APRN

  • Nurse Practitioner
  • Florence, KY
National Provider Identifier
1265849699
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3009955 Issued in KY
Practice address
6425 Dixie Hwy
Florence, KY 41042-2101
Phone
(859) 282-0431
Fax
(859) 282-1482
NPI assigned
Jul 17, 2014
Last updated
Jan 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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 3009955 KY Primary
Adult Health Nurse Practitioner 363LA2200X COA.16268-NP OH
Registered Nurse 163W00000X RN-306449-1 OH

Addresses

Primary practice location

6425 Dixie Hwy
Florence, KY 41042-2101

Mailing address

6425 Dixie Hwy
Florence, KY 41042-2101
Phone (859) 282-0431

Other identifiers 1

IdentifierTypeStateIssuer
7100436560MedicaidKY

Other names 1

  • Melissa Kaye Slayman Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN-306449-1OHMDRegistered Nurse
COA.16268-NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Collaborative Medicine Inc PastSince Dec 14, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1265849699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 DIXIE HWY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422101",
            "telephone_number": "859-282-0431",
            "fax_number": "859-282-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 DIXIE HWY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410422101",
            "telephone_number": "859-282-0431",
            "fax_number": "859-282-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAFFORD",
        "first_name": "MELISSA",
        "middle_name": "KAYE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009955",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.16268-NP",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN-306449-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100436560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "SLAYMAN",
            "middle_name": "KAYE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.