STACI MELVIN CNP NPI 1144335654

NPI Information

NPI: 1144335654
Provider Name: STACI MELVIN, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
432 KING CHURCH AVE SW
UNIONTOWN, OH
ZIP 44685
Phone: (330) 877-0781
Get Directions

Staci Melvin, CNP is a family nurse practitioner in Uniontown, OH. Staci Melvin, CNP NPI is 1144335654. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

432 KING CHURCH AVE SW
UNIONTOWN, OH
ZIP 44685-100
Phone: (330) 877-0781
Fax: (330) 877-0492

The NPI 1144335654 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 6/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		28133158A	INDIANA	No
2	363LF0000X	Nurse Practitioner	Family	71002040A	INDIANA	No
3	363LF0000X	Nurse Practitioner	Family	COA-111250NP	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	ME2033591	MEDICARE PIN	OHIO
2	3031847	MEDICAID	OHIO
3	150640MMMM	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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