Active NPI
Adriana Melissa Meyer, NP
- Family Nurse Practitioner
- Edwards, CO
National Provider Identifier
1407347537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0001046
- Practice address
- 320 Beard Creek Rd
Edwards, CO 81632 - Phone
- (970) 945-2840
- Fax
- (970) 945-1055
- NPI assigned
- May 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | C-APN.0001046-C-NP | CO | |
| Nurse Practitioner | 363L00000X | F02180544 | TN | |
| Family Nurse Practitioner | 363LF0000X | 0001046 | CO | Primary |
Addresses
Primary practice location
320 Beard Creek Rd
Edwards, CO 81632
Mailing address
4852 Bobby Jeffery Dr
Ooltewah, TN 37363-7075
Phone (423) 802-6820
Other names 1
- Adriana Reyes
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN.0001046-C-NP | CO | MD | Nurse Practitioner |
| F02180544 | TN | MD | Nurse Practitioner |
| 0001046 | CO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531094400000",
"number": "1407347537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4852 BOBBY JEFFERY DR",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373637075",
"telephone_number": "423-802-6820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 BEARD CREEK RD",
"city": "EDWARDS",
"state": "CO",
"postal_code": "81632",
"telephone_number": "970-945-2840",
"fax_number": "970-945-1055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "ADRIANA",
"middle_name": "MELISSA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-24",
"last_updated": "2018-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "C-APN.0001046-C-NP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "F02180544",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "0001046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADRIANA",
"last_name": "REYES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Edwards, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.