NPI Code Detail JSON Logo

1275786741 NPI number — MELISSA ANN PALKA N.P.

NPI Number: 1275786741
Health Care Provider/Practitioner: MELISSA ANN PALKA N.P.

Information about “1275786741” NPI (MELISSA ANN PALKA N.P.) exists in 1275786741 in HTML format HTML  |  1275786741 in plain Text format TXT  |  1275786741 in PDF (Portable Document Format) PDF  |  1275786741 in an XML format XML  formats.

NPI Number : 1275786741 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275786741",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PALKA",
    "FirstName": "MELISSA",
    "MiddleName": "ANN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "N.P.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "100 EMANCIPATION DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAMPTON",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23667",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "570-926-1942",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "HAMPTON VA MEDICAL CENTER",
    "SecondLinePracticeLocationAddress": "100 EMANCIPATION DR.",
    "PracticeLocationAddressCityName": "HAMPTON",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23667",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "570-926-1942",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/28/2008",
    "LastUpdateDate": "01/17/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "0024175256",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "305489",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LG0600X",
          "TaxonomyName": "Gerontology Nurse Practitioner",
          "LicenseNumber": "754432",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.