Melissa Ann Eiden, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2482694 Issued in MN

Practice address

1107 NW 4TH St
Grand Rapids, MN 55744-2205

Phone

(218) 326-0095

NPI assigned

Mar 27, 2024

Last updated

Mar 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• 2Care4U LLC

  • Home Health Agency
  • Grand Rapids, MN
  • NPI 1366833600
  NPD (past)

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1811748924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16497 US HIGHWAY 169",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557445926",
            "telephone_number": "218-244-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 NW 4TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442205",
            "telephone_number": "218-326-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIDEN",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2482694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lyn Downing
• Lauren G Dozier, FNP
• Taylor Draper, PHD
• Kalie R Drazenovich, CNP
• Paul Lee Dubbels, O.D.
• Eldercircle
• Larry Vernon Elj, RN
• Ellen S. Teigland, L.P.,P.a.
• Jason Kirk Eller, D.C.
• Embrace Mental Health

• Registered Nurse in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.