Individual provider Active NPI

Melissa Marie Mulvaney, MAE, DIPLAC, LAC

  • Acupuncturist
  • Roswell, GA
National Provider Identifier
1346584695
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
348 Issued in GA
Practice address
295 W Crossville Rd
Building 800, Suite 810
Roswell, GA 30075-6231
Phone
(770) 518-1785
NPI assigned
Nov 26, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 348 GA Primary

Addresses

Primary practice location

295 W Crossville Rd
Building 800, Suite 810
Roswell, GA 30075-6231

Mailing address

295 W Crossville Rd
Building 800, Suite 810
Roswell, GA 30075-6231
Phone (770) 518-1785

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
348GAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1346584695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 W CROSSVILLE RD",
            "address_2": "BUILDING 800, SUITE 810",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300756231",
            "telephone_number": "770-518-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 W CROSSVILLE RD",
            "address_2": "BUILDING 800, SUITE 810",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300756231",
            "telephone_number": "770-518-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULVANEY",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "MAE, DIPLAC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.