Active NPI
Melissa Lease
- Registered Nurse
- Hedgesville, WV
National Provider Identifier
1578876538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 72755
- Practice address
- 6665 Hedgesville Rd
Hedgesville, WV 25427-5483 - Phone
- (304) 754-3171
- NPI assigned
- Jul 20, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 72755 | WV | Primary |
Addresses
Primary practice location
6665 Hedgesville Rd
Hedgesville, WV 25427-5483
Mailing address
11955 Back Creek Valley Rd
Hedgesville, WV 25427-3156
Phone (304) 754-6048
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 |
|---|---|---|---|
| 72755 | WV | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1578876538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11955 BACK CREEK VALLEY RD",
"city": "HEDGESVILLE",
"state": "WV",
"postal_code": "254273156",
"telephone_number": "304-754-6048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6665 HEDGESVILLE RD",
"city": "HEDGESVILLE",
"state": "WV",
"postal_code": "254275483",
"telephone_number": "304-754-3171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEASE",
"first_name": "MELISSA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "72755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hedgesville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.