Melissa Manuel, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000012380 Issued in TN

Practice address

60 Germantown CT
Suite 200
Cordova, TN 38018-4238

Phone

(901) 756-1216

Fax

(901) 756-1412

NPI assigned

Feb 13, 2007

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

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Beau Pittman

  • Internal Medicine Physician
  • Cordova, TN
  • NPI 1417123084
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1972645281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 GERMANTOWN CT",
            "address_2": "SUITE 200",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184238",
            "telephone_number": "901-756-1216",
            "fax_number": "901-756-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GERMANTOWN CT",
            "address_2": "SUITE 200",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184238",
            "telephone_number": "901-756-1216",
            "fax_number": "901-756-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "MELISSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000012380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Newberry Malone, MASTER DEGREE IN NUR
• Jaliyah Malone
• Keneisha Malone, BCBA, LBA
• Karen Ann Manfredonia, PT
• Cooper Scott Manley, DO
• Nicole Marion
• Larissa S Marquez
• Raven Marshall
• Martha a Gordon, MD, PC
• Ashley Martin, PHARMD

• Family Nurse Practitioner in Cordova, TN
• Providers in Cordova, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.