MELISSA TATE NP NPI 1366576647

NPI Information

NPI: 1366576647
Provider Name: MELISSA TATE, NP
Classification: Nurse Practitioner - 363LP1700X
Entity Type: Individual

Specialization: Perinatal

PECOS Registration: Yes

Address:
611 W. PARK ST.
URBANA, IL
ZIP 61801
Phone: (217) 383-3311
Get Directions

Melissa Tate, NP is a perinatal nurse practitioner in Urbana, IL with 26 years of experience. Melissa Tate, NP NPI is 1366576647. 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:

611 W. PARK ST.
URBANA, IL
ZIP 61801-500
Phone: (217) 383-3311

The NPI 1366576647 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 3/16/2007 and was last updated on 5/14/2014.

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	363LP1700X	Nurse Practitioner	Perinatal	209004644	ILLINOIS	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	Q60610	MEDICARE UPIN	ILLINOIS
2	208905135	MEDICARE PIN	ILLINOIS
3	K24008	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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