Individual provider Active NPI

Melanie Anne Pooler, RN

  • Case Management Registered Nurse
  • Woodbridge, VA
National Provider Identifier
1588226708
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RE2171 Issued in GU
Practice address
1549 Old Bridge Rd Ste 201
Woodbridge, VA 22192-2737
Phone
(671) 489-8895
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RE2171 GU Primary

Addresses

Primary practice location

1549 Old Bridge Rd Ste 201
Woodbridge, VA 22192-2737

Mailing address

PO Box 2257
Hagatna, GU 96932-2257
Phone (671) 489-8895

Other names 1

  • Melanie Anne Keller Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL melaniepooler@gmail.com Direct

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RE2171GUMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1588226708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2257",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969322257",
            "telephone_number": "671-489-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 OLD BRIDGE RD STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922737",
            "telephone_number": "671-489-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLER",
        "first_name": "MELANIE",
        "middle_name": "ANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GU",
            "license": "RE2171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "melaniepooler@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1549 Old Bridge Rd Ste 201",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221922737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "KELLER",
            "middle_name": "ANNE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.