Melissa Gallison, PHD., ANP, MPH

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

300795 Issued in NY

Practice address

300 Meridian Centre Blvd
Ste 320
Rochester, NY 14618-3981

Phone

(585) 463-3100

Fax

(585) 463-3105

NPI assigned

Feb 18, 2009

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

Other names 1

• Melissa Gallison Blackstone Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Southern Tier Community Health Center Network, Inc.

  • Dental Clinic/Center
  • Bradford, PA
  • NPI 1962399394
  NPD (past)

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1346489119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MERIDIAN CENTRE BLVD",
            "address_2": "STE 320",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183981",
            "telephone_number": "585-463-3100",
            "fax_number": "585-463-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MERIDIAN CENTRE BLVD",
            "address_2": "STE 320",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183981",
            "telephone_number": "585-463-3100",
            "fax_number": "585-463-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLISON",
        "first_name": "MELISSA",
        "credential": "PHD., ANP, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "300795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BLACKSTONE",
            "middle_name": "GALLISON",
            "credential": "PHD, ANP, MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meredith Kathryn Gallelli
• Marvin Galler, M.D.
• Kathleen Gallery, CNM, FNP
• Elizabeth A Gallichio, NP
• Tabethia Opherlia Gallimore, RN
• Kara Gallmann
• Delia Gallmeyer
• Giampaolo Gallo, M.D.
• Marissa R Gallo, CRNA
• Robin Gallob, R.N., M.S.

• Adult Health Nurse Practitioner in Rochester, NY
• Providers in Rochester, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.