Myriad Healthcare LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MYRIAD HEALTHCARE LLC

Practice address

5460 63Rd St E Unit B
Bradenton, FL 34203-7808

Phone

(941) 202-2305

Fax

(941) 220-4688

NPI assigned

Jan 16, 2023

Organization subpart

No

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

Authorized official

Name

Melissa Allen, APRNNPI 1710433537

Title

Nurse Practitioner

Phone

(941) 202-2305

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Allen, NP

  • Family Nurse Practitioner
  • Bradenton, FL
  • NPI 1710433537
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1639884539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 63RD ST E UNIT B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342037808",
            "telephone_number": "217-202-9606",
            "fax_number": "941-220-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 63RD ST E UNIT B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342037808",
            "telephone_number": "941-202-2305",
            "fax_number": "941-220-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRIAD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "941-202-2305",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Jonas Myers, D.C.
• Nicole Elaine Myers, D.O.
• Teresa H Myers, RPH
• Myeyedr Optometry of Florida, LLC
• Katrina Gabrielle Mylett, ARNP
• Cleofe Cadiz Nacua, R.P.T.
• Niklaus Nacua, PTA
• Yallappa Nadiminti, MD
• Jonathan Michael Nadolne, LAT, ATC, CPT
• Amir Naffi, DMD,MS

• Primary Care Clinic/Center in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.