Dawn Melancon, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP07980 Issued in LA

Practice address

14360 Wax Rd
Baton Rouge, LA 70818-4279

Phone

(225) 261-6541

Fax

(225) 262-0502

NPI assigned

Jul 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dawn Lasha Bradford Other name

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dawn.melancon@dhcl-la.direct.office.nextgen.com
• Direct secure messaging: dawn.melancon@362180465590276.direct.elationemr.com

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.

• Divinity Healthcare Clinic

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1326676792
  Medicare reassignment NPD Authorized official
• SDV Healthcare LLC

  • Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1184215568
  NPD Authorized official
• R.T. Royal Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1255705828
  NPD (past)

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1548678469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 WE HECK CT",
            "address_2": "STE B1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160405",
            "telephone_number": "225-256-7945",
            "fax_number": "225-450-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14360 WAX RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708184279",
            "telephone_number": "225-261-6541",
            "fax_number": "225-262-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANCON",
        "first_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP07980",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "LA",
            "license": "AP07980",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "BRADFORD",
            "middle_name": "LASHA",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brock Owen Melancon
• Brooke Alene Melancon
• Bryan Keith Melancon, NP
• Carol Baker Melancon, M.D.
• Corey Allen Melancon, MD
• Kasonya Melancon
• Katelyn Melancon
• Kaylan Michelle Melancon
• Rayann Samantha Melancon
• Storie Melancon, FNP-C

• Family Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.