Individual provider Active NPI

Melissa Dawn Ward, CRNP

  • Family Nurse Practitioner
  • Athens, AL
National Provider Identifier
1851373344
Registry record updated Jun 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-083717 Issued in AL
Practice address
710 W Hobbs St
Athens, AL 35611-1508
Phone
(256) 800-2105
Fax
(256) 800-2107
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-083717 AL Primary

Addresses

Primary practice location

710 W Hobbs St
Athens, AL 35611-1508

Mailing address

710 W Hobbs St
Athens, AL 35611-1508
Phone (256) 800-2105

Other identifiers 3

IdentifierTypeStateIssuer
051518176TAYOtherALBC/BS ALABAMA
1851373344MedicaidAL
529702470MedicaidAL

Other names 1

  • Ms. Melissa Dawn Taylor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080812000315 AL Practitioner - Nurse Practitioner 3678484649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

710 W Hobbs St
Athens, AL 35611-1508
Phone (256) 800-2105

Hospital & facility affiliations

  • Athens-Limestone Homecare Home health agency, Athens, AL, CCN 017095
  • Athens Limestone Hospital Hospital, Athens, AL, CCN 010079
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-083717ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Leaf Medical Clinic, LLC Family CurrentSince Aug 1, 2020 Accepting new patients
Palliative Care Partners, Inc. PastSince Mar 1, 2013 Accepting new patients
Ardmore Chiropractic Inc. PastSince Feb 23, 2012 Accepting new patients
Hospice of the Valley, Inc. Past Accepting new patients

Locations

710 W Hobbs St
Athens, AL 35611
Phone (256) 262-6380

Interoperability endpoints

  • Direct secure messaging: melissaward@nlmcl-al.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592006400000",
    "number": "1851373344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W HOBBS ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356111508",
            "telephone_number": "256-800-2105",
            "fax_number": "256-800-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W HOBBS ST",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356111508",
            "telephone_number": "256-800-2105",
            "fax_number": "256-800-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "MELISSA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-083717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ALABAMA",
            "identifier": "051518176TAY",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851373344",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529702470",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "TAYLOR",
            "middle_name": "DAWN",
            "prefix": "MS.",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.