Active NPI
Melissa Christine Smith, RN BC PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Warner Robins, GA
National Provider Identifier
1982955969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 530776
- Practice address
- 215 Benjamin Ave
Warner Robins, GA 31098-1062 - Phone
- (618) 795-6333
- NPI assigned
- Oct 1, 2012
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 530776 | TX | Primary |
Addresses
Primary practice location
215 Benjamin Ave
Warner Robins, GA 31098-1062
Mailing address
655 South 7TH Street BLDG 700/700-a
78 MDG/Sgow
Robins Afb, GA 31098
Phone (478) 327-8398
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 530776 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda Munro Psy D PA | Past | Accepting new patients |
Interoperability endpoints
- usteleverohealth.melissasmith@154586.advancedmd-direct.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.
-
- Military Hospital
- Robins Afb, GA
- NPI 1689886137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1982955969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 SOUTH 7TH STREET BLDG 700/700-A",
"address_2": "78 MDG/SGOW",
"city": "ROBINS AFB",
"state": "GA",
"postal_code": "31098",
"telephone_number": "478-327-8398",
"fax_number": "478-327-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 BENJAMIN AVE",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310981062",
"telephone_number": "618-795-6333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MELISSA",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "RN BC PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-01",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "530776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.