Active NPI
Melissa Dawson
- Registered Nurse
- Jacksonville Beach, FL
National Provider Identifier
1568854099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- L1-0028549
- Practice address
- 333 1St St N
Suite 200
Jacksonville Beach, FL 32250-6945 - Phone
- (904) 241-9231
- NPI assigned
- Feb 20, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | L1-0028549 | DE | Primary |
Addresses
Primary practice location
333 1St St N
Suite 200
Jacksonville Beach, FL 32250-6945
Mailing address
114 Cross Ave
New Castle, DE 19720-2002
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 |
|---|---|---|---|
| L1-0028549 | DE | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1568854099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 CROSS AVE",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197202002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 1ST ST N",
"address_2": "SUITE 200",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322506945",
"telephone_number": "904-241-9231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-20",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0028549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.