Melissa Richmond

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11010670 Issued in FL

Practice address

156 N County Highway 393
Santa Rosa Beach, FL 32459-5349

Phone

(850) 353-3205

NPI assigned

Dec 17, 2020

Sex

Female

Sole proprietor

Yes

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": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1578159182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 FIFTH ST",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325411738",
            "telephone_number": "504-710-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 N COUNTY HIGHWAY 393",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595349",
            "telephone_number": "850-353-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11010670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Ragsdale
• Robert Clifford Ratcliff, DDS
• John Roger Rebillot, M. A.
• Christine Reitz, OTR/L
• Sarah Reznechek
• Jaclyn S Rieben, PA-C
• April Rieveschl, PH.D.
• Kevin Riley
• Andrew Scott Robbins
• Thomas Whitfield Roberts, DPM

• Psychiatric/Mental Health Nurse Practitioner in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.