Melissa Dawn Hartis, A.S.

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5391 Issued in NC

Practice address

7820 Ballantyne Commons Pkwy
Charlotte, NC 28277-2841

Phone

(704) 540-3033

NPI assigned

Jun 26, 2008

Last updated

Jun 26, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Science

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1699937169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 UNIONVILLE INDIAN TRL RD W",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280796752",
            "telephone_number": "704-882-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 BALLANTYNE COMMONS PKWY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772841",
            "telephone_number": "704-540-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTIS",
        "first_name": "MELISSA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "A.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "5391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan David Hart, PA
• Suzanne Hart, LCMHCA
• Virginia Sparrow Hart, PHD
• Yvonne Vanessa Hart, MS, NBHWC
• Brian M Hartinger, MD
• Reba Renee Hartlage, OTD, OTR/L, CLT
• Tamara Anne Hartley, CRNA
• Tyler F Hartley, D.C.
• William Stuart Hartley, M.D.
• Tara Hartman-Gud

• Occupational Therapy Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.