Active NPI
Melissa Kaye Wafford, APRN
- Nurse Practitioner
- Florence, KY
National Provider Identifier
1265849699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3009955
- 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, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100436560 | Medicaid | KY |
Other names 1
- Melissa Kaye Slayman
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN-306449-1 | OH | MD | Registered Nurse |
| COA.16268-NP | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Collaborative Medicine Inc | Past | 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.
-
- Durable Medical Equipment & Medical Supplies
- Florence, KY
- NPI 1548652308
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.