Melanie Abner, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

4704277433 Issued in MI

Practice address

35 S Johnson St Ste 1D
Pontiac, MI 48341-1660

Phone

(248) 838-3686

Fax

(248) 621-9626

NPI assigned

Dec 16, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Serenity Rehabilitation Center, Inc

  • Methadone Clinic
  • Pontiac, MI
  • NPI 1558029900
  NPD

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1982316352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S JOHNSON ST STE 1D",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411660",
            "telephone_number": "248-838-3686",
            "fax_number": "248-621-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S JOHNSON ST STE 1D",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411660",
            "telephone_number": "248-838-3686",
            "fax_number": "248-621-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABNER",
        "first_name": "MELANIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "4704277433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.src.helth",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "35 S Johnson St Ste 1D",
            "city": "Pontiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483411660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fatma Abdel-Rahim, DPM
• Adib Abdelrahman, D.O.
• Anan A Abdelrahman, MD
• Ayodeji Eyitayo Abejide
• Andrew Charles Abiragi
• Hassan Osama Mostafa Aboul-Nour, MD
• John M Abraham, MD
• Tina Elizabeth Abraham, D.O.
• Matthew Albert Abraira
• Mahmoud Abu Hajer

• Addiction (Substance Use Disorder) Registered Nurse in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.