Melissa L Brock, CST/CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

0136000258 Issued in VA

Practice address

8260 Atlee Rd
Mechanicsville, VA 23116-1844

Phone

(804) 764-7445

NPI assigned

Feb 16, 2011

Last updated

Feb 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Lightsey Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1780981472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8165 MARLEY DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231164161",
            "telephone_number": "804-624-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 ATLEE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231161844",
            "telephone_number": "804-764-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "MELISSA",
        "middle_name": "L",
        "credential": "CST/CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "VA",
            "license": "0136000258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "LIGHTSEY",
            "credential": "CST/CSFA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David Paul Briere Jr., PHARMD
• Sue Teets Briggs, P.T.
• Abigail Jane Bright
• Brighter Pathways LLC
• Logan Broache
• Sara K. Brockbank, OT
• James P. Brodeur, M.D.
• Brook Run Vision Center
• Jessica Brooks, LCP
• Katherine Brooks

• Surgical Assistant in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Surgical Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.