Melanie Anne Haller, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN00087922 Issued in WA

Practice address

3041 Kromer Ave Apt D
Everett, WA 98201-4187

Phone

(425) 258-9278

NPI assigned

May 22, 2007

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

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Optum Care Washington PLLC

  • Ambulatory Surgical Clinic/Center
  • Everett, WA
  • NPI 1154318103
  NPD (past)
• Sound Weight and Wellness PLLC

  • Obesity Medicine (Internal Medicine) Physician
  • Everett, WA
  • NPI 1275105728
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1700096609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 KROMER AVE APT D",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014187",
            "telephone_number": "425-258-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 KROMER AVE APT D",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014187",
            "telephone_number": "425-258-9278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER",
        "first_name": "MELANIE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "WA",
            "license": "RN00087922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007996216",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "211217100000",
            "identifier": "PREMERA BLUE CROSS",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "QMXPR0061572",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "PR21112990001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9627563",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH",
            "identifier": "1109037",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP-PROVIDENCE EMPLOYEES",
            "identifier": "209629000001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS",
            "identifier": "211217100000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Paul Hall, BA
• Roger William Hall, O.D.
• Simone Hall, PMHNP-BC, ARNP
• Timothy Hall, CRNA
• Alexia Stephanie Halle
• Ralph T. Haller, M.D.
• Brian H Hallgarth, MD
• Kathryn D Halverson
• Austin Brooks Halvorsen, BS
• Jillian K Hamel, CRNP

• Registered Nurse First Assistant in Everett, WA
• Providers in Everett, WA by specialty
• Registered Nurse First Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.