Individual provider Active NPI

Ashley Marie Melick, RN

  • Ambulatory Care Registered Nurse
  • North Bend, OR
National Provider Identifier
1366189326
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
232171 Issued in AZ
Practice address
2191 Marion St
North Bend, OR 97459-2314
Phone
(541) 756-8021
NPI assigned
May 19, 2022
Last updated
May 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X RN80150 ME
Ambulatory Care Registered Nurse 163WP2201X 232171 AZ Primary

Addresses

Primary practice location

2191 Marion St
North Bend, OR 97459-2314

Mailing address

2191 Marion St
North Bend, OR 97459-2314
Phone (541) 756-8021

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley.melick@va.gov VA Roseburg Healthcare System

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
232171AZMDAmbulatory Care Registered Nurse
RN80150MEMDAmbulatory Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1366189326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 MARION ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592314",
            "telephone_number": "541-756-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 MARION ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592314",
            "telephone_number": "541-756-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELICK",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "ME",
            "license": "RN80150",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "AZ",
            "license": "232171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.melick@va.gov",
            "affiliation": "Y",
            "affiliationName": "VA Roseburg Healthcare System",
            "address_1": "2191 Marion St",
            "city": "North Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974592314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.