Melissa Dawn Floyd, CPHT , CHW-C
Individual provider Active NPI Community Health Worker · Republic, MO
NPI 1790455335 · NPPES record last updated Sep 15, 2021
Key facts
- NPI
- 1790455335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 13845 (MO)
- Practice address
- 1173 E Hines St
Republic, MO 65738-1277 - Phone
- (417) 735-0055
- Fax
- (417) 732-1529
- NPI assigned
- Sep 15, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13845 | MO | MD | Community Health Worker |
| 2009033721 | MO | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 2009033721 | MO | |
| Community Health Worker | 172V00000X | 13845 | MO | Yes |
Addresses
Primary practice location
1173 E Hines St
Republic, MO 65738-1277
Mailing address
1173 E Hines St
Republic, MO 65738-1277
Phone (417) 735-0055
Other providers in Republic, MO
- John M Fenton III
- Charla Fields
- Fincare,Inc
- Mary D Fletcher
- Latisha Jolene Florence
- Hannah H Fox
- Gary L. June, PSYD, LLC
- Katherine E Gerwel
- Susan Govero
- Grateful Heart Counseling LLC
All providers in Republic, MO · Community Health Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.