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
Last updated
Jan 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Specialties & licenses 6

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

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

  • Ms. Melissa Veronica Mathews 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-101355ALMDRegistered Nurse

NPI Registry JSON

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

{
    "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.