Melissa Diane Mills, REGISTERED NURSE

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

R0093137 Issued in OK

Practice address

1108 N Wheeler Ave
Sallisaw, OK 74955-2227

Phone

(918) 775-5513

NPI assigned

Feb 11, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Diane Taylor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Creoks Mental Health Services

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1710583372
  NPD (past)

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1376358853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 N WHEELER AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749552227",
            "telephone_number": "918-775-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 N WHEELER AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749552227",
            "telephone_number": "918-775-5513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Stilwell",
            "state": "OK",
            "postal_code": "749602417",
            "country_code": "US",
            "telephone_number": "918-696-6212",
            "fax_number": "918-696-6214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "MELISSA",
        "middle_name": "DIANE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OK",
            "license": "R0093137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "TAYLOR",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meadow Brook Outpatient Treatment Center #2
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• Michelle L Cardin
• Brittanie Mills
• Mission Medical Equipment, LLC
• Kendra Monroe
• Megan N Moody, APRN
• Taylor Brooklyn Ruth Morgan
• Taylor R Morgan, M.S., CCC-SLP

• General Practice Registered Nurse in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• General Practice Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.