Active NPI
Melissa Johnson Hurley, NP
- Psychiatric/Mental Health Nurse Practitioner
- High Point, NC
National Provider Identifier
1508269317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5007248
- Practice address
- 308 Boulevard St
High Point, NC 27262-3802 - Phone
- (336) 801-1188
- NPI assigned
- Oct 7, 2014
- 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 | 227872 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5007248 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5007248 | NC | Primary |
Addresses
Primary practice location
308 Boulevard St
High Point, NC 27262-3802
Mailing address
308 Boulevard St
High Point, NC 27262-3802
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508269317 | Medicaid | NC | |
| NP2998 | Medicaid | SC |
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 |
|---|---|---|---|
| 5007248 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Service of the Piedmont, Inc. | Nurse Practitioner | Current | Accepting new patients |
Locations
308 Boulevard St
High Point, NC 27262
Phone (336) 801-1188
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 and National Provider Directory roles.
-
- Mental Health Counselor
- High Point, NC
- NPI 1073154514
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1508269317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 BOULEVARD ST",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272623802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 BOULEVARD ST",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272623802",
"telephone_number": "336-801-1188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "MELISSA",
"middle_name": "JOHNSON",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-07",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "227872",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5007248",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5007248",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508269317",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP2998",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.