Melinda K Harden, C.R.N.P

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1-025359 Issued in AL

Practice address

815 Jackson Trace Rd
Wetumpka, AL 36092-1504

Phone

(334) 567-2882

Fax

(334) 567-3361

NPI assigned

Jul 26, 2006

Last updated

Apr 21, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Services Inc

  dba Hayneville Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Hayneville, AL
  • NPI 1598788218
  NPD
• Amedisys Alabama, LLC

  dba Amedisys Home Health of Reform

  • Home Health Agency
  • Carrollton, AL
  • NPI 1326006628
  NPD (past)
• Geriatric Associates of Montgomery, PC

  • Geriatric Medicine (Family Medicine) Physician
  • Montgomery, AL
  • NPI 1679637912
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1518981687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 JACKSON TRACE RD",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360921504",
            "telephone_number": "334-567-2882",
            "fax_number": "334-567-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 JACKSON TRACE RD",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360921504",
            "telephone_number": "334-567-2882",
            "fax_number": "334-567-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEN",
        "first_name": "MELINDA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "C.R.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-025359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051515816",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540003434",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Shade Gross, CRNP
• Pritesh Gulab
• Hayley Guthrie, CRNP
• Takeshia Hall-Humphrey
• Sharon M Hamlin, CRNP
• Jasmine Harrell
• Elizabeth K Hart, ALC
• Steven Mark Hayden, M.D.
• Haynes Ambulance of Elmore County, L.L.C.
• Haynes Ambulance of Wetumpka

• Pediatric Nurse Practitioner in Wetumpka, AL
• Providers in Wetumpka, AL by specialty
• Pediatric Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.