MELISSA CATHERINE STATHAM FNP NPI 1811906423

NPI Information

NPI: 1811906423
Provider Name: MELISSA CATHERINE STATHAM, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
436 5TH & TED STEVENS WAY
KOTZEBUE, AK
ZIP 99752
Phone: (907) 442-3321
Get Directions

Melissa Catherine Statham, FNP is a family nurse practitioner in Kotzebue, AK. Melissa Catherine Statham, FNP NPI is 1811906423. 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:

436 5TH & TED STEVENS WAY
KOTZEBUE, AK
ZIP 99752-043
Phone: (907) 442-3321
Fax: (907) 442-7250

The NPI 1811906423 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 3/1/2012.

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	363LF0000X	Nurse Practitioner	Family	922	ALASKA	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	1295993376	MEDICAID	ARIZONA
2	1780614008	MEDICAID	ARIZONA
3	021310	MEDICARE OSCAR/CERTIFICATION	ALASKA
4	1871523191	MEDICAID	ARIZONA
5	1629236716	MEDICAID	ARIZONA
6	TEZ042	MEDICARE PIN	ALASKA

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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