Active NPI
Melissa Ann Jett, CSA
- Surgical Assistant
- Madisonville, KY
National Provider Identifier
1962689976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA022
- Practice address
- 900 Hospital Dr
Madisonville, KY 42431-1653 - Phone
- (270) 825-5100
- NPI assigned
- Jan 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA022 | KY | Primary |
Addresses
Primary practice location
900 Hospital Dr
Madisonville, KY 42431-1653
Mailing address
900 Hospital Dr
Madisonville, KY 42431-1653
Phone (270) 825-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000346596 | Other | KY | BCBS PROVIDER NUMBER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA022 | KY | MD | Surgical Assistant |
Interoperability endpoints
- mjett46987@bhkydirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1962689976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 HOSPITAL DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311653",
"telephone_number": "270-825-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 HOSPITAL DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311653",
"telephone_number": "270-825-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETT",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "CSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "KY",
"license": "SA022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "000000346596",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.