Individual provider Active NPI

Melissa Suxanne Donohue, RN

  • School Registered Nurse
  • Clovis, NM
National Provider Identifier
1881476596
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
68842 Issued in NM
Practice address
1009 N Main St
Clovis, NM 88101-5932
Phone
(575) 769-4490
NPI assigned
Oct 17, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
68842NMMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Clovis Municipal Schools PastSince Oct 22, 2023 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 68842 NM Primary

Addresses

NPPES NPI Registry

Primary practice location

1009 N Main St
Clovis, NM 88101-5932

Mailing address

PO Box 19000
Clovis, NM 88102-9000
Phone (575) 769-4490

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 17, 2023.

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1881476596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19000",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881029000",
            "telephone_number": "575-769-4490",
            "fax_number": "575-769-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N MAIN ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015932",
            "telephone_number": "575-769-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "MELISSA",
        "middle_name": "SUXANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "68842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.