Melonie Renee Roberts, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2017013024 Issued in MO

Practice address

290 Clift CT
Hollister, MO 65672-5947

Phone

(417) 336-4355

NPI assigned

Dec 9, 2011

Last updated

Jul 21, 2022By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melonie.roberts.1@12282.direct.athenahealth.com

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.

• Orange Grove Urgent Care

  • Urgent Care Clinic/Center
  • Gulfport, MS
  • NPI 1831330661
  NPD
• Pascagoula Urgent Care

  • Urgent Care Clinic/Center
  • Pascagoula, MS
  • NPI 1235442872
  NPD
• Petal Urgent Care LLC

  • Urgent Care Clinic/Center
  • Petal, MS
  • NPI 1982908877
  NPD
• South Mississippi Urgent Care

  • Urgent Care Clinic/Center
  • D'Lberville, MS
  • NPI 1750308250
  NPD

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285902841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CLIFT CT",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656725947",
            "telephone_number": "417-336-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CLIFT CT",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656725947",
            "telephone_number": "417-336-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MELONIE",
        "middle_name": "RENEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R874839",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017013024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05107335",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerrie Nell Patton, P.T.
• Nezerae Rose Phillips, LMSW
• Plastic Surgery & Weight Loss CNTR
• Jeffrey Scott Rick, D.D.S.
• Trevor B Rick, DDS
• Roller Enterprises LLC
• John Orville Roller, D.P.M.
• RPCS, Inc. (Price Cutter Pharmacy #70)
• School Dist R5 Hollister
• Jennifer Nicole Schulte, MSW, LCSW

• Family Nurse Practitioner in Hollister, MO
• Providers in Hollister, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.