Melissa Wilson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

120606 Issued in OH

Practice address

17273 State Route 104
Chillicothe, OH 45601-9718

Phone

(740) 418-8062

NPI assigned

Mar 26, 2014

Last updated

Jun 16, 2022By the provider in NPPES

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

Electronic endpoints 2

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1598182735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 CAVES RD",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456409031",
            "telephone_number": "740-418-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17273 STATE ROUTE 104",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019718",
            "telephone_number": "740-418-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "120606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa.wilson6@va.gov",
            "affiliation": "N",
            "address_1": "17273 State Route 104",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456019718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa.wilson6@va.gov",
            "affiliation": "N",
            "address_1": "17273 State Route 104",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456019718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alvin Jody Wilson, LCDCIII
• Bobbi Jean Wilson, LPN
• Donna Jean Wilson
• Mandy Lynn Wilson
• Melea Beth Wilson, LMT
• Ruth Wilson, LSW
• Vanessa N Wilson
• William Alexander Wilson, M.D.
• Roger E Wiltfong, M.D.
• Taylor C Winchell, MSW, LISW-S

• Licensed Practical Nurse in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.