MELISSA EMILY BALLOU RN
NPI 1548902141
Registered Nurse in Charlestown, RI

Q: What is Melissa Ballou's NPI number?

The NPI number for Melissa Ballou is 1548902141. It was assigned to this individual provider in the NPPES registry on April 13, 2022. The provider is also known as Melissa Emily Mactavish Rn.

Q: What is Melissa Ballou's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Ballou was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2022

4705 OLD POST RD UNIT A, CHARLESTOWN, RI 02813(401) 364-7705(401) 364-1982 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2025, Apr 13, 2022 (2 updates tracked since 2022).

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About Melissa Emily Ballou Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA EMILY BALLOU RN (NPI 1548902141) is an individual registered nurse in Charlestown, Rhode Island, licensed in Rhode Island (RN63724) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1548902141

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameMELISSA EMILY BALLOUCredential: RN

Location Address4705 OLD POST RD UNIT ACharlestown, RI 02813-1842

Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541

Phone(401) 364-7705

Fax(401) 364-1982

Sole ProprietorNo

Enumeration DateApril 13, 2022

Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2025

✔ NPI 1548902141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in RI · RN63724

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

4705 OLD POST RD UNIT A, Charlestown, RI 02813

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Other Names 1

Former Name (1)Melissa Emily Mactavish Rn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN HENDERSHOT RN

Registered Nurse