MELISSA VASTORIA INGRAHAM PICKENS (NPI# 1326639493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326639493 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA VASTORIA INGRAHAM PICKENS |
| Gender | Female |
| Practice Address | 10945 S. Buffalo Ave. Chicago IL 60617 |
| Practice Telephone | 3128341454 |
| Mailing Address | 10945 S. Buffalo Ave. Chicago IL 60617 |
| Mailing Telephone | 3128341454 |
| Certification Date | 2021-02-01 |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-01 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers | |||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | |||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
| Street Address | 10945 S. BUFFALO AVE. |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker · Clinical | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner · Family | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor · Professional | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology · Diagnostic Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center · Ambulatory Surgical | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker · Clinical | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151829 | Chantel Bentley | 9033 S Loomis St Apt 1a, Chicago, IL 60620-3578 | 2020-07-21 | |
| 1750914511 | Clarence Beals | 5943 S Aberdeen St, Chicago, IL 60621-1429 | 2020-02-19 | |
| 1659928224 | Carmen Billips | 1454 N Linder Ave, Chicago, IL 60651-1232 | 2019-08-19 | |
| 1245797661 | Shanna M Avery | 8004 S Green St, Chicago, IL 60620-2545 | 2019-02-21 | |
| 1699230417 | Iesha Marsh | 820 S Park Terrance, Apt813, Chicago, IL 60605 | 2019-02-06 | |
| 1851875637 | Eghe Obaseki | 2640 W Touhy Ave Ste 206, Chicago, IL 60645-3147 | 2018-09-18 | |
| 1720585599 | Dominique Lanesha Flowers | 7816 S Bishop St, Chicago, IL 60620-4165 | 2018-04-09 | |
| 1124524053 | Alexa Grace Rebolledo | 5828 W Henderson St, Chicago, IL 60634-4301 | 2018-03-31 | |
| 1154847093 | Gretchen O Tura | 4938 N Drake Ave, Chicago, IL 60625-5616 | 2017-08-22 | |
| 1407302110 | Jasmine Swanigan | 2753 W North Ave, Floor 3, Chicago, IL 60647 | 2016-09-01 | |
| Find all providers in CHICAGO | ||||
| City | CHICAGO |
| Zip Code | 60617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073811964 | Melissa Brown · Melissa Mamula | Pharmacist | 101 Hampton Ave, Pickens, SC 29671-2462 | 2011-03-02 |
| 1790328029 | Erin Melissa Ingraham · Erin Melissa Corbett | Counselor | 919 N Main St, Mooresville, NC 28115-2355 | 2019-10-18 |
| 1386809879 | Melissa-Sue Ingraham | Specialist | 1 Phoenix Mill Ln, Peterborough, NH 03458-1476 | 2008-07-23 |
| 1720212988 | Melissa Antoinette Willis | Social Worker · School | 800 Ingraham St Nw, Washington, DC 20011-2904 | 2009-05-04 |
| 1043670482 | Melissa Ann Ingraham | Counselor · Mental Health | 780 Harry L Dr, Johnson City, NY 13790-1036 | 2016-02-27 |
| 1649576638 | Melissa Rene Batten | Acupuncturist | 4428 Ingraham St, San Diego, CA 92109-4404 | 2011-02-08 |
| 1508950858 | Melissa Jill Brock · Melissa Jill Pickens | Social Worker · Clinical | 926 W Oakland Ave, Suite 226, Johnson City, TN 37604-1445 | 2006-10-03 |
| 1952721565 | Kay Ingraham · Kay Ingraham | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Mmc 284, Minneapolis, MN 55455-0341 | 2014-04-22 |
| 1437282811 | Melissa N Warnick | Dentist · Dental Public Health | 108 Massingill Rd, Pickens, SC 29671 | 2007-03-14 |
| 1013395771 | Melissa Pickens | Case Manager/Care Coordinator | 4171 N Crossover Rd, Fayetteville, AR 72703-4591 | 2015-05-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.