Melissa Dirst-Roberts PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MELISSA DIRST-ROBERTS PLLC

Practice address

860 Highway 62 E Ste 10
Mountain Home, AR 72653-3200

Phone

(870) 424-3181

Fax

(870) 424-3089

NPI assigned

Apr 6, 2019

Organization subpart

No

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

Authorized official

Name

Melissa Dirst-Roberts, MD

Title

Sole MBR

Phone

(870) 424-3181

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1554508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1982167029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HIGHWAY 62 E STE 10",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533200",
            "telephone_number": "870-424-3181",
            "fax_number": "870-424-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 HIGHWAY 62 E STE 10",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533200",
            "telephone_number": "870-424-3181",
            "fax_number": "870-424-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA DIRST-ROBERTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-06",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "DIRST-ROBERTS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "870-424-3181",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "798944",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234235002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Alan Medley, LPC
• Medsense Health Chartered
• Cara Lynn Meisenheimer
• Joy Melick
• Richard R. Melick, MHPP
• Abigail Francis Melton
• Mental Health Diagnostics and Teleprescribing
• Merwin B Moore III MD
• Mhcnc, Inc.
• Mhhnc, Inc

• All providers in Mountain Home, AR
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.