Melinda Racquel Thomas Sullian, LPN

Primary specialty

Community Health/Public Health Clinical Nurse SpecialistTaxonomy code 364SC1501X

License

0002082414 Issued in VA

Practice address

1517 Aspen St NW
Roanoke, VA 24017-3009

Phone

(540) 563-1219

NPI assigned

Jun 22, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1538903786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 HERSHBERGER RD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240171842",
            "telephone_number": "540-227-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 ASPEN ST NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240173009",
            "telephone_number": "540-563-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS SULLIAN",
        "first_name": "MELINDA",
        "middle_name": "RACQUEL",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-22",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "VA",
            "license": "0002082414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thekey of Lynchburg LLC
• Charlene Thepsimuong, LCSW
• Theralynx LLC
• Therapeutic Innovations
• Thomas K. Wilcox, O.D. and Associates, P.C.
• Antonio Lamar Thomas
• Barton Alan Thomas, MD
• Bruce R Thomas, M.D.
• Elyn Thomas, LCSW
• Francine Thomas

• Clinical Nurse Specialist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Clinical Nurse Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; 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.