Individual provider Active NPI

Melissa Jones, RNFA, CNOR

  • Registered Nurse First Assistant
  • Jackson, MS
National Provider Identifier
1730480286
Registry record updated Nov 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN855951 Issued in MS
Practice address
1421 N State St
Suite 403
Jackson, MS 39202-1658
Phone
(601) 353-9900
Fax
(601) 353-3654
NPI assigned
Nov 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN855951 MS Primary

Addresses

Primary practice location

1421 N State St
Suite 403
Jackson, MS 39202-1658

Mailing address

100 Persimmon PL
Madison, MS 39110-6820

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN855951MSMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Urology Clinic, PLLC PastSince Jul 1, 2001 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1289692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289692800000",
    "number": "1730480286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PERSIMMON PL",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 N STATE ST",
            "address_2": "SUITE 403",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021658",
            "telephone_number": "601-353-9900",
            "fax_number": "601-353-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MELISSA",
        "credential": "RNFA, CNOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-14",
        "last_updated": "2010-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MS",
            "license": "RN855951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2010; 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.