Brianna Michelle Melodick, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9607155 Issued in FL

Practice address

12218 Ledbury Commons Dr
Gibsonton, FL 33534-3025

Phone

(908) 307-7633

NPI assigned

Aug 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1437879707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12218 LEDBURY COMMONS DR",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343025",
            "telephone_number": "908-307-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12218 LEDBURY COMMONS DR",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343025",
            "telephone_number": "908-307-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELODICK",
        "first_name": "BRIANNA",
        "middle_name": "MICHELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9607155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethel Lee
• Selena Chanel Bowden Lemons, LMHC, NCC, CAP
• Vilaire Lizima
• Jackeline Lourdes Martinez
• Ashia A McCorvey, LAT, ATC
• Beatrice Mary Metzger, PTA
• Kayla Mitchell
• Olguine Mode
• Irina Monroe, CHT
• Margaret Mechelle Montgomery, RMA/HHA

• Registered Nurse in Gibsonton, FL
• Providers in Gibsonton, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.