Individual provider Active NPI

Jacquelyn Elizabeth Melton, FNP-C

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1508642547
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024188030 Issued in VA
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

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
356034NYMDLicensed Practical Nurse
234346ARMDFamily Nurse Practitioner
322858AZMDFamily Nurse Practitioner
95035155CAMDFamily Nurse Practitioner
C-APN.0103162-C-NPCOMDFamily Nurse Practitioner
GAA-NP003139GAMDFamily Nurse Practitioner
209.033873ILMDFamily Nurse Practitioner
771016338AINMDFamily Nurse Practitioner
2024047623MOMDFamily Nurse Practitioner
5021960NCMDFamily Nurse Practitioner
APRN.CNP.0039789OHMDFamily Nurse Practitioner
220974OKMDFamily Nurse Practitioner
1180527TXMDFamily Nurse Practitioner
0024188030VAMDFamily 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.

Verify at the official NPI Registry.