Active NPI
Melissa Lynn Baatz, FNP
- Family Nurse Practitioner
- Ladson, SC
National Provider Identifier
1740627967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18285
- Practice address
- 9625 Highway 78
Ladson, SC 29456-3913 - Phone
- (866) 389-2727
- Fax
- (401) 652-1593
- NPI assigned
- May 29, 2013
- Last updated
- Aug 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18285 | SC | Primary |
Addresses
Primary practice location
9625 Highway 78
Ladson, SC 29456-3913
Mailing address
134 Diploma Dr
Ladson, SC 29456-5326
Phone (843) 882-5031
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2412 | Medicaid | SC | |
| P01203036 | Other | SC | RR-MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gray's Pain Relief Center, LLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1740627967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 DIPLOMA DR",
"city": "LADSON",
"state": "SC",
"postal_code": "294565326",
"telephone_number": "843-882-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9625 HIGHWAY 78",
"city": "LADSON",
"state": "SC",
"postal_code": "294563913",
"telephone_number": "866-389-2727",
"fax_number": "401-652-1593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAATZ",
"first_name": "MELISSA",
"middle_name": "LYNN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-29",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "18285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP2412",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR-MEDICARE",
"identifier": "P01203036",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ladson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.