Amy Melissa Selmon, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

903884 Issued in MS

Practice address

904 North Pearl Street
Iuka, MS 38852

Phone

(662) 656-0183

NPI assigned

Aug 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1346850278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 NORTH PEARL STREET",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "38852",
            "telephone_number": "662-656-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 NORTH PEARL STREET",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "38852",
            "telephone_number": "662-656-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELMON",
        "first_name": "AMY",
        "middle_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "878054",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Sansing
• Brianna Lynn Scobey
• Bobbie Scott
• Todd Scott, PTA
• Kelly S Segars Jr., M.D.
• Kristi L Senter, SPEECH-LANGUAGE PATH
• Mary Beth Sheffield, MS, RDN, LD
• Eloy V. Silva Jr.
• Brittany Sims, NP
• Valerie Vernice Sims

• Nurse Practitioner in Iuka, MS
• Providers in Iuka, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.