Active NPI
Jacquelyn Elizabeth Melton, FNP-C
- Family Nurse Practitioner
- Richmond, VA
National Provider Identifier
1508642547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024188030
- Practice address
- 805 W Cary St Apt 408
Richmond, VA 23220-5414 - Phone
- (804) 380-8567
- NPI assigned
- Sep 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 356034 | NY | |
| Family Nurse Practitioner | 363LF0000X | 30747 | SC | |
| Family Nurse Practitioner | 363LF0000X | 95035155 | CA | |
| Family Nurse Practitioner | 363LF0000X | 0024188030 | VA | Primary |
| Family Nurse Practitioner | 363LF0000X | 234346 | AR | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0039789 | OH | |
| Family Nurse Practitioner | 363LF0000X | 322858 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 771016338A | IN | |
| Family Nurse Practitioner | 363LF0000X | 220974 | OK | |
| Family Nurse Practitioner | 363LF0000X | C-APN.0103162-C-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 5021960 | NC | |
| Family Nurse Practitioner | 363LF0000X | 1180527 | TX | |
| Family Nurse Practitioner | 363LF0000X | GAA-NP003139 | GA | |
| Family Nurse Practitioner | 363LF0000X | 209.033873 | IL | |
| Family Nurse Practitioner | 363LF0000X | 2024047623 | MO |
Addresses
Primary practice location
805 W Cary St Apt 408
Richmond, VA 23220-5414
Mailing address
805 W Cary St Apt 408
Richmond, VA 23220-5414
Phone (804) 380-8567
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 356034 | NY | MD | Licensed Practical Nurse |
| 234346 | AR | MD | Family Nurse Practitioner |
| 322858 | AZ | MD | Family Nurse Practitioner |
| 95035155 | CA | MD | Family Nurse Practitioner |
| C-APN.0103162-C-NP | CO | MD | Family Nurse Practitioner |
| GAA-NP003139 | GA | MD | Family Nurse Practitioner |
| 209.033873 | IL | MD | Family Nurse Practitioner |
| 771016338A | IN | MD | Family Nurse Practitioner |
| 2024047623 | MO | MD | Family Nurse Practitioner |
| 5021960 | NC | MD | Family Nurse Practitioner |
| APRN.CNP.0039789 | OH | MD | Family Nurse Practitioner |
| 220974 | OK | MD | Family Nurse Practitioner |
| 1180527 | TX | MD | Family Nurse Practitioner |
| 0024188030 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1508642547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 W CARY ST APT 408",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232205414",
"telephone_number": "804-380-8567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 W CARY ST APT 408",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232205414",
"telephone_number": "804-380-8567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "JACQUELYN",
"middle_name": "ELIZABETH",
"name_prefix": "Miss",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-06",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "356034",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "30747",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95035155",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024188030",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "234346",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0039789",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "322858",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "771016338A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "220974",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "C-APN.0103162-C-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5021960",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1180527",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GAA-NP003139",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.033873",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2024047623",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.