Individual provider Active NPI

Rebecca Jones Melloan, APRN

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1649601212
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3008450 Issued in KY
Practice address
1431 Centerpoint Blvd Ste 100
Knoxville, TN 37932-1983
Phone
(865) 539-8000
NPI assigned
Dec 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 33412 TN
Nurse Practitioner 363L00000X 1120495 KY
Nurse Practitioner 363L00000X 3008450 KY Primary

Addresses

Primary practice location

1431 Centerpoint Blvd Ste 100
Knoxville, TN 37932-1983

Mailing address

1431 Centerpoint Blvd Ste 100
Knoxville, TN 37932-1983
Phone (865) 539-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140304001797 KY Practitioner - Nurse Practitioner 1456581842 Reassigns benefits to 2 organizations
I20230510002949 TN Practitioner - Nurse Practitioner 1456581842

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio County Hospital CorporationGroup PAC ID 3577477264, 84 clinicians

Practice addresses (Care Compare)

1313 N Main St
Beaver Dam, KY 42320-8957
Phone (270) 274-9928

Hospital & facility affiliations

  • Ohio County Hospital Hospital, Hartford, KY, CCN 181323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1120495KYMDNurse Practitioner
33412TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Em-I Medical Services PSC Nurse Practitioner CurrentSince Jul 1, 2017 Accepting new patients
Ohio County Hospital Corporation CurrentSince Oct 1, 2018 Accepting new patients
Ohio County Hospital Corporation CurrentSince Oct 1, 2018 Accepting new patients
Kentucky Em-I Medical Services PSC Nurse Practitioner CurrentSince Jul 1, 2017 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Feb 1, 2014 Accepting new patients
Ohio County Hospital Corporation Past Accepting new patients

Locations

1313 N Main St
Beaver Dam, KY 42320
Phone (270) 274-9928

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

44 W Main St
Fordsville, KY 42343
Phone (270) 276-3150

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

210 N Main St
Morgantown, KY 42261
Phone (270) 504-1300

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

1431 Centerpoint Blvd
Ste 100
Knoxville, TN 37932
Phone (865) 539-8000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1649601212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 CENTERPOINT BLVD STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321983",
            "telephone_number": "865-539-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 CENTERPOINT BLVD STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321983",
            "telephone_number": "865-539-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOAN",
        "first_name": "REBECCA",
        "middle_name": "JONES",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "33412",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "1120495",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.