Melissa Eloise Purk, STNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

400700261207 Issued in OH

Practice address

149 Madison Ave
Urbana, OH 43078-2289

Phone

(937) 652-2768

NPI assigned

May 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1326249988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MADISON AVE",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430781472",
            "telephone_number": "937-652-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 MADISON AVE",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782289",
            "telephone_number": "937-652-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURK",
        "first_name": "MELISSA",
        "middle_name": "ELOISE",
        "credential": "STNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "400700261207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amanda Randall
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• Vicki Reiff, LISW
• Richard D. Dietz, DDS Inc.

• Nurse's Aide in Urbana, OH
• Providers in Urbana, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.