Provider Type Icon

MELISSA DAWN LOUDERMILK NPI 1639646243


NPI Information

NPI: 1639646243
Provider Name: MELISSA DAWN LOUDERMILK
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
109 N FAIRLAND ST
PRYOR, OK
ZIP 74361
Phone: (918) 825-1405
Get Directions

Melissa Dawn Loudermilk is a peer specialist in Pryor, OK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Melissa Dawn Loudermilk NPI is 1639646243. 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:

109 N FAIRLAND ST
PRYOR, OK
ZIP 74361-203
Phone: (918) 825-1405
Fax: (918) 876-3436

The enumeration date for this NPI number is 11/1/2018 and was last updated on 11/26/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1175T00000XPeer SpecialistYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.