Individual provider Active NPI

Melissa Nash, ARNP

  • Family Nurse Practitioner
  • Madison, FL
National Provider Identifier
1952804247
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9167445 Issued in FL
Practice address
194 NE Hancock Ave
Madison, FL 32340-2546
Phone
(850) 253-2275
Fax
(850) 253-2280
NPI assigned
Mar 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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 ARNP9167445 FL Primary

Addresses

Primary practice location

194 NE Hancock Ave
Madison, FL 32340-2546

Mailing address

1702 S Jefferson St
Perry, FL 32348-5611
Phone (855) 577-5437

Other practice location 1

1702 S Jefferson St
Perry, FL 32348-5611
Phone (855) 577-5437 ext. 1210

Other practice location 2

15260 NW 147th Dr
Alachua, FL 32615-5338
Phone (386) 518-0102

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9167445FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little Pine Pediatrics, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melissa.nash.1@28226.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1952804247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 S JEFFERSON ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323485611",
            "telephone_number": "855-577-5437",
            "fax_number": "855-815-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 NE HANCOCK AVE",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "323402546",
            "telephone_number": "850-253-2275",
            "fax_number": "850-253-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1702 S Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Perry",
            "state": "FL",
            "postal_code": "323485611",
            "country_code": "US",
            "telephone_number": "855-577-5437 x1210",
            "fax_number": "855-815-8083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15260 NW 147th Dr",
            "address_purpose": "LOCATION",
            "city": "Alachua",
            "state": "FL",
            "postal_code": "326155338",
            "country_code": "US",
            "telephone_number": "386-518-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASH",
        "first_name": "MELISSA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9167445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.