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1851457394

NPI Code Detail

MEDICARE: DR. MELISSA ANN COVINGTON M.D.

MEDICARE: DR. MELISSA ANN COVINGTON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	042.0011771	VT
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	MD2019-0791	NM
3	207LP2900X	Pain Medicine (Anesthesiology) Physician	042.0011771	VT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	042.0011771	OTHER	VT	MEDICAL LICENSE NUMBER

General Provider Information

NPI Number	:	1851457394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA ANN COVINGTON M.D.

Provider Business Mailing Address
First Line	:	1650 HOSPITAL DR STE 500
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-4794
Country	:	US
Telephone Number	:	505-670-1976
Fax Number	:	505-983-7212

Provider Business Practice Location Address
First Line	:	4200 BECKNER RD
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87507-3774
Country	:	US
Telephone Number	:	505-477-2200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	01/15/2026

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Directions to “ DR. MELISSA ANN COVINGTON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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