Andrea Antoinette Melvin, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

196865 Issued in NC

Practice address

9 Peridot PL
Durham, NC 27703-6657

Phone

(919) 630-0784

NPI assigned

Mar 23, 2015

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

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1831583418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PERIDOT PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036657",
            "telephone_number": "919-630-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PERIDOT PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036657",
            "telephone_number": "919-630-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "ANDREA",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "196865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Melton
• Cathleen Marie Melton, M.D.
• M Stephen Melton, MD
• Melanie Rose Melton, MA, LMFT
• Eric B. Meltzer, MD
• Jeni Erickson Melvin, OTD, OTR/L
• Julieann Melvin
• Latarsha Ford Melvin, MSW, LCSWA
• Stefan Tyler Melvin
• Brett F. Memauri, MD

• Registered Nurse in Durham, NC
• Providers in Durham, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.