Individual provider Active NPI

Allison Renee Melton, FNP-BC

  • Family Nurse Practitioner
  • Holly Ridge, NC
National Provider Identifier
1457612012
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005627 Issued in NC
Practice address
308 US Highway 17 N
Holly Ridge, NC 28445-7828
Phone
(910) 329-1707
Fax
(910) 329-1716
NPI assigned
May 30, 2012
Last updated
May 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5005627 NC Primary

Addresses

Primary practice location

308 US Highway 17 N
Holly Ridge, NC 28445-7828

Mailing address

308 US Highway 17 N
Holly Ridge, NC 28445-7828
Phone (910) 329-1707

Other names 1

  • Ms. Allison Renee Roane Former name

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

State licenses

LicenseStateTypeSpecialty
5005627NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Ridge Chiropractic & Auto Injury CurrentSince Aug 1, 2015 Accepting new patients

Locations

119 Holly St
Holly Ridge, NC 28445
Phone (910) 329-1707

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1457612012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 US HIGHWAY 17 N",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284457828",
            "telephone_number": "910-329-1707",
            "fax_number": "910-329-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 US HIGHWAY 17 N",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284457828",
            "telephone_number": "910-329-1707",
            "fax_number": "910-329-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "ALLISON",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "ROANE",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holly Ridge, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.