Individual provider Active NPI

Melissa Veronica Thomas, REGISTERED NURSE

  • Adult Psychiatric/Mental Health Registered Nurse
  • Anniston, AL
National Provider Identifier
1275923674
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
1-101355 Issued in AL
Practice address
1605 Danbury LN
Anniston, AL 36207-7115
Phone
(256) 452-8591
NPI assigned
Jan 23, 2015
Sex
Female
Sole proprietor
Yes

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-101355ALMDAmbulatory Care Registered Nurse

Specialties & licenses 6

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-101355 AL
Home Health Registered Nurse 163WH0200X 1-101355 AL
Hospice Registered Nurse 163WH1000X 1-101355 AL
Medical-Surgical Registered Nurse 163WM0705X 1-101355 AL
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 1-101355 AL Primary
Ambulatory Care Registered Nurse 163WP2201X 1-101355 AL

Addresses

NPPES NPI Registry

Primary practice location

1605 Danbury LN
Anniston, AL 36207-7115

Mailing address

1605 Danbury LN
Anniston, AL 36207-7115
Phone (256) 452-8591

Other names 1

NPPES NPI Registry
  • Ms. Melissa Veronica Mathews Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2015.

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1275923674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 DANBURY LN",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362077115",
            "telephone_number": "256-452-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 DANBURY LN",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362077115",
            "telephone_number": "256-452-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MELISSA",
        "middle_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-101355",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "AL",
            "license": "1-101355",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "AL",
            "license": "1-101355",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "AL",
            "license": "1-101355",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "AL",
            "license": "1-101355",
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "AL",
            "license": "1-101355",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MATHEWS",
            "middle_name": "VERONICA",
            "prefix": "MS.",
            "credential": "REGISTERED NURSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.