Active NPI
Melanie K Moynan-Smith, CNP
- Nurse Practitioner
- Athens, OH
National Provider Identifier
1780747857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- COA.05038-NP
- Practice address
- 246 Parks Hall
Athens, OH 45701 - Phone
- (740) 593-2516
- Fax
- (740) 593-2905
- NPI assigned
- Dec 19, 2006
- Last updated
- Jun 6, 2013
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | COA.05038-NP | OH | Primary |
Addresses
Primary practice location
246 Parks Hall
Athens, OH 45701
Mailing address
246 Parks Hall
Athens, OH 45701
Phone (740) 593-2516
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2110790 | Medicaid | OH | |
| 000000671228 | Other | OH | ANTHEM |
| 305660 | Other | OH | UNISON |
| 10047007 | Other | WV | BWC |
| 6190173 | Other | OH | CIGNA |
| 3810018096 | Medicaid | WV |
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
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1780747857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 PARKS HALL",
"city": "ATHENS",
"state": "OH",
"postal_code": "45701",
"telephone_number": "740-593-2516",
"fax_number": "740-593-2905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 PARKS HALL",
"city": "ATHENS",
"state": "OH",
"postal_code": "45701",
"telephone_number": "740-593-2516",
"fax_number": "740-593-2905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYNAN-SMITH",
"first_name": "MELANIE",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA.05038-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2110790",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000671228",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "305660",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC",
"identifier": "10047007",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6190173",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810018096",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.