Active NPI
Melinda L Luckay, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Roanoke, VA
National Provider Identifier
1295919454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024168899
- Practice address
- 4515 Brambleton Ave
Suite B
Roanoke, VA 24018-3436 - Phone
- (540) 777-6807
- Fax
- (540) 777-6809
- NPI assigned
- Dec 24, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024168899 | VA | Primary |
Addresses
Primary practice location
4515 Brambleton Ave
Suite B
Roanoke, VA 24018-3436
Mailing address
4515 Brambleton Ave
Suite B
Roanoke, VA 24018-3436
Phone (540) 777-6807
Other names 1
- Melinda L Easley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2021 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luckay Doc, PLLC | Past | Accepting new patients | |
| Philhaven | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8253/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Troutville, VA
- NPI 1093847873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1295919454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 BRAMBLETON AVE",
"address_2": "SUITE B",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240183436",
"telephone_number": "540-777-6807",
"fax_number": "540-777-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 BRAMBLETON AVE",
"address_2": "SUITE B",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240183436",
"telephone_number": "540-777-6807",
"fax_number": "540-777-6809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCKAY",
"first_name": "MELINDA",
"middle_name": "L",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-24",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024168899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELINDA",
"last_name": "EASLEY",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.