Active NPI
Melissa Rice, P.A.
- Physician Assistant
- Wilmington, NC
National Provider Identifier
1689065187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-05567
- Practice address
- 2131 S 17TH St
Wilmington, NC 28401-7407 - Phone
- (910) 815-5830
- Fax
- (910) 815-5698
- NPI assigned
- Feb 5, 2015
- Last updated
- Apr 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-05567 | NC | Primary |
Addresses
Primary practice location
2131 S 17TH St
Wilmington, NC 28401-7407
Mailing address
PO Box 15511
Wilmington, NC 28408-5511
Phone (910) 262-7107
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689065187 | Medicaid | NC | |
| 2254PA | Medicaid | SC |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-05567 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1689065187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15511",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284085511",
"telephone_number": "910-262-7107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017407",
"telephone_number": "910-815-5830",
"fax_number": "910-815-5698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE",
"first_name": "MELISSA",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-05",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-05567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689065187",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2254PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
- Riccobene & Associates Xiii, DDS, P.a. (Brush and Floss Specialty - Porters Neck)
- Riccobene & Associates Xiii, DDS, P.a. (Brush and Floss Specialty - Monkey Junction)
- Riccobene & Associates Xxxvi, DDS, P.a.
- Ashley Sara Rice, D.O.
- Jon F Rice, CPO
- Nicole Rice, LCSW
- Rachel Coppersmith Rice
- Richard a. Berg, PC
- Richard Alan Reamer
- Richard R. Recko D.P.M., PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.