Active NPI
Melissa Raymond, APRN
- Family Nurse Practitioner
- Columbus, OH
National Provider Identifier
1669877965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 25367
- Practice address
- 4200 Regent St Ste 200
Columbus, OH 43219-6229 - Phone
- (877) 870-1775
- Fax
- (614) 968-8840
- NPI assigned
- Oct 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9383083 | FL | |
| Family Nurse Practitioner | 363LF0000X | 354984 | NY | |
| Family Nurse Practitioner | 363LF0000X | 25367 | TN | Primary |
Addresses
Primary practice location
4200 Regent St Ste 200
Columbus, OH 43219-6229
Mailing address
132 Claremont Rd
Oak Ridge, TN 37830-7168
Phone (865) 210-2711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9383083 | FL | MD | Family Nurse Practitioner |
| 354984 | NY | MD | Family Nurse Practitioner |
| 25367 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Central Florida Health Care, Inc. | Current | Accepting new patients | |
| Central Florida Health Care, Inc | Current | Accepting new patients | |
| Premise Health of Tennessee Medical PC | Past | Accepting new patients |
Locations
950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000
109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891
305 W Central Ave
Fl Heal
Lake Wales, FL 33853
1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Frostproof, FL
- NPI 1467449660
-
- Federally Qualified Health Center (FQHC)
- Bartow, FL
- NPI 1811796469
-
- Federally Qualified Health Center (FQHC)
- Wauchula, FL
- NPI 1750378956
-
- Multi-Specialty Clinic/Center
- Knoxville, TN
- NPI 1164995445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1669877965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 CLAREMONT RD",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378307168",
"telephone_number": "865-210-2711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 REGENT ST STE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432196229",
"telephone_number": "877-870-1775",
"fax_number": "614-968-8840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "MELISSA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-29",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9383083",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "354984",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "25367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.