Individual provider Active NPI

Melissa A Fochtman, RN

  • Registered Nurse
  • Hagerstown, MD
National Provider Identifier
1619256096
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R156901 Issued in MD
Practice address
201 N Burhans Blvd
Hagerstown, MD 21740-4677
Phone
(301) 791-2660
Fax
(301) 791-5032
NPI assigned
Aug 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R156901 MD Primary
Registered Nurse 163W00000X RN518221L PA

Addresses

Primary practice location

201 N Burhans Blvd
Hagerstown, MD 21740-4677

Mailing address

201 N Burhans Blvd
Hagerstown, MD 21740-4677
Phone (301) 791-2660

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
R156901MDMDRegistered Nurse
RN518221LPAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1619256096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N BURHANS BLVD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404677",
            "telephone_number": "301-791-2660",
            "fax_number": "301-791-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N BURHANS BLVD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217404677",
            "telephone_number": "301-791-2660",
            "fax_number": "301-791-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOCHTMAN",
        "first_name": "MELISSA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R156901",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN518221L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.