Melinda Harrison, RN, BSN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

RN1792962 Issued in FL

Practice address

320 High Tide Dr
Suite 101
St Augustine, FL 32080-2323

Phone

(904) 823-6013

NPI assigned

Dec 3, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1477898443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 BIG MAGNOLIA CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320801700",
            "telephone_number": "904-823-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 HIGH TIDE DR",
            "address_2": "SUITE 101",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320802323",
            "telephone_number": "904-823-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MELINDA",
        "credential": "RN, BSN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "FL",
            "license": "RN1792962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Harris
• Kevin Lee Harris, RRT
• Patrick J Harris, D O
• Sandra R Harris, LMSW
• Alexa Faith Harrison, RBT
• Michelle Hart-Claytor, OT
• Hartley Chiropractic and Scoliosis Center, P.a.
• Hartley Chiropractic P a
• J Edward Hartley, DC
• Jane A Hartman

• Lactation Consultant (Registered Nurse) in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Lactation Consultant (Registered Nurse) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.