Active NPI
Melissa Diane Meehan, MSN, RN, CNS
- Medical-Surgical Clinical Nurse Specialist
- San Diego, CA
National Provider Identifier
1790131373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Clinical Nurse Specialist
- License
- 4444
- Practice address
- 2681 W Canyon Ave
Apt 547
San Diego, CA 92123-4736 - Phone
- (760) 846-4098
- NPI assigned
- May 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 415908 | CA | |
| Medical-Surgical Clinical Nurse Specialist | 364SM0705X | 4444 | CA | Primary |
Addresses
Primary practice location
2681 W Canyon Ave
Apt 547
San Diego, CA 92123-4736
Mailing address
2681 W Canyon Ave
Apt 547
San Diego, CA 92123-4736
Phone (760) 846-4098
Other names 1
- Melissa Diane Drake
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
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 415908 | CA | MD | Medical-Surgical Registered Nurse |
| 4444 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1790131373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2681 W CANYON AVE",
"address_2": "APT 547",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234736",
"telephone_number": "760-846-4098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2681 W CANYON AVE",
"address_2": "APT 547",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234736",
"telephone_number": "760-846-4098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEHAN",
"first_name": "MELISSA",
"middle_name": "DIANE",
"credential": "MSN, RN, CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "CA",
"license": "415908",
"primary": false
},
{
"code": "364SM0705X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Medical-Surgical",
"state": "CA",
"license": "4444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "DRAKE",
"middle_name": "DIANE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.