Individual provider Active NPI

Laura K Melaro, DNP APN FNP/PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bolivar, TN
National Provider Identifier
1750450649
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN6039 Issued in TN
Practice address
629 Nuckolls Rd
Bolivar, TN 38008-1599
Phone
(731) 658-3388
Fax
(731) 658-4079
NPI assigned
Nov 7, 2006
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000006039 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN6039 TN Primary

Addresses

Primary practice location

629 Nuckolls Rd
Bolivar, TN 38008-1599

Mailing address

1817 River Breeze Dr
Soddy Daisy, TN 37379-2401
Phone (731) 608-3531

Other practice location 1

627 Nuckolls Road
Bolivar, TN 38008
Phone (731) 600-1063

Other practice location 2

17 1st St E
Stanton, TN 38069-4426
Phone (731) 548-2232

Other practice location 3

1132 Industrial Dr
Henderson, TN 38340-1310
Phone (731) 983-3175

Other practice location 4

445 Nuckolls Rd
Bolivar, TN 38008-1539
Phone (731) 658-2902

Other identifiers 1

IdentifierTypeStateIssuer
573577000MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050201000872 TN Practitioner - Nurse Practitioner 5496706053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

627 Nuckolls Rd
Bolivar, TN 38008-1599
Phone (731) 658-3388

629 Nuckolls Rd
Bolivar, TN 38008-1599
Phone (731) 658-3388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6039TNMDSurgical Physician Assistant
APN0000006039TNMDFamily Nurse Practitioner
APN6039TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hardeman County Community Health Center CurrentSince Sep 24, 2015 Accepting new patients
Hardeman County Community Health Center Current Accepting new patients
Hardeman County Community Health Center CurrentSince Sep 24, 2015 Accepting new patients
Hardeman County Community Health Center Past Accepting new patients
Madison Fam Walk in Clinic Limited Family Past Accepting new patients

Locations

445 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 658-2902

627 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 600-1063

629 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 658-3388

1132 Industrial Dr
Henderson, TN 38340
Phone (731) 983-3175

Interoperability endpoints

  • Direct secure messaging: laura.melaro.1@27086.direct.athenahealth.com
  • Direct secure messaging: laura.melaro.p1@direct.hcchc.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1750450649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 RIVER BREEZE DR",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373792401",
            "telephone_number": "731-608-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 NUCKOLLS RD",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081599",
            "telephone_number": "731-658-3388",
            "fax_number": "731-658-4079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "627 Nuckolls Road",
            "address_purpose": "LOCATION",
            "city": "Bolivar",
            "state": "TN",
            "postal_code": "38008",
            "country_code": "US",
            "telephone_number": "731-600-1063",
            "fax_number": "731-631-1230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 1st St E",
            "address_purpose": "LOCATION",
            "city": "Stanton",
            "state": "TN",
            "postal_code": "380694426",
            "country_code": "US",
            "telephone_number": "731-548-2232",
            "fax_number": "731-548-2236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1132 Industrial Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "TN",
            "postal_code": "383401310",
            "country_code": "US",
            "telephone_number": "731-983-3175",
            "fax_number": "731-983-3356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Nuckolls Rd",
            "address_purpose": "LOCATION",
            "city": "Bolivar",
            "state": "TN",
            "postal_code": "380081539",
            "country_code": "US",
            "telephone_number": "731-658-2902",
            "fax_number": "731-203-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELARO",
        "first_name": "LAURA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DNP APN FNP/PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000006039",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN6039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "573577000",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, TN

Sources for this page

Verify at the official NPI Registry.