Melissa Ellen Deckard, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2006038530 Issued in MO

Practice address

4796D Omaha Beach St
Fort Irwin, CA 92310-1905

Phone

(573) 337-0421

NPI assigned

Feb 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Melissa Ellen Deckard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1386884872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4796D OMAHA BEACH ST",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923101905",
            "telephone_number": "573-337-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4796D OMAHA BEACH ST",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923101905",
            "telephone_number": "573-337-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKARD",
        "first_name": "MELISSA",
        "middle_name": "ELLEN",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2006038530",
            "primary": true
        },
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "CA",
            "license": "741502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "DECKARD",
            "middle_name": "ELLEN",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elliot Roberto Dano, MD
• Frederick Lendel Davidson, RN
• Matthew Davis, DMD
• Nichole D Davis, LPN
• Victoria Regina Davis, REGISTERED NURSE
• James Degroot
• Brad Matthew Dolinsky, MD
• Joan A Domengeaux, PT
• Francisco Cesar Dominicci, RN, BSN
• Johelen Erika Dominicci, RN

• Registered Nurse in Fort Irwin, CA
• Providers in Fort Irwin, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.