Individual provider Active NPI

Melissa Kaye Croumie Hall, FNP

  • Family Nurse Practitioner
  • Vacaville, CA
National Provider Identifier
1316018088
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16691 Issued in CA
Practice address
1001 Nut Tree Rd
#140
Vacaville, CA 95687-4166
Phone
(707) 448-9350
NPI assigned
Nov 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16691 CA Primary

Addresses

Primary practice location

1001 Nut Tree Rd
#140
Vacaville, CA 95687-4166

Mailing address

4835 Hoen Ave
Santa Rosa, CA 95405-7453

Other names 1

  • Meilssa Hall Other 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
16691CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mukesh H Naik DO Inc PastSince Nov 5, 2007 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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316018088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NUT TREE RD",
            "address_2": "#140",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874166",
            "telephone_number": "707-448-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUMIE HALL",
        "first_name": "MELISSA",
        "middle_name": "KAYE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "16691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEILSSA",
            "last_name": "HALL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.