Melissa Brown, RN
Individual provider Active NPI Registered Nurse · Shoshone, ID
NPI 1497617302 · NPPES record last updated Nov 29, 2025
Key facts
- NPI
- 1497617302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 68500 (ID)
- Practice address
- 161 Eric Rd
Shoshone, ID 83352-5440 - Phone
- (208) 358-5338
- NPI assigned
- Nov 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68500 | ID | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | 68500 | ID | Yes |
Addresses
Primary practice location
161 Eric Rd
Shoshone, ID 83352-5440
Mailing address
161 Eric Rd
Shoshone, ID 83352-5440
Phone (208) 358-5338
Other providers in Shoshone, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.