| Rungnapa Kannu-melson, NP | |
|
340 N Cedar Ave, Cookeville, TN 38501-2421 | |
| (931) 783-5353 | |
| Not Available |
| Full Name | Rungnapa Kannu-melson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 340 N Cedar Ave, Cookeville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932815339 | NPI | - | NPPES |
| 33270 | Other | TN | APN LICENSE |
| Q082008 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 33270 (Tennessee) | Primary |
| Entity Name | Cookeville Regional Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649202102 PECOS PAC ID: 8325092638 Enrollment ID: O20050309000874 |
| Entity Name | Shc Medical Partners Of Tennessee, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609051895 PECOS PAC ID: 1951487826 Enrollment ID: O20080318000852 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191218003345 |
| Entity Name | Abode Care Partners Ltc Vb, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972372225 PECOS PAC ID: 8325316516 Enrollment ID: O20240129001302 |
| Entity Name | Abode Care Partners Al Vb Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518736834 PECOS PAC ID: 1658403704 Enrollment ID: O20240201000465 |
| Mailing Address | Practice Location Address |
|---|---|
| Rungnapa Kannu-melson, NP 140 W 7th St, Cookeville, TN 38501-1726 Ph: (931) 783-5582 | Rungnapa Kannu-melson, NP 340 N Cedar Ave, Cookeville, TN 38501-2421 Ph: (931) 783-5353 |
Amy Jo Emerick, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 N Cedar Ave, Cookeville, TN 38501 Phone: 931-520-8435 | |
Cathleen Delane Stewart, NURSE PRACTIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 758 S Willow Ave., Cookeville, TN 38501 Phone: 931-526-6173 Fax: 931-526-5084 | |
Laura June Young, FAMILY PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 Neal St, Cookeville, TN 38501 Phone: 931-528-8593 | |
Sarah Brady, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 W 3rd St, Cookeville, TN 38501 Phone: 931-528-9047 | |
Mrs. Karen Candace Norrod, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 S Willow Ave, Cookeville, TN 38506 Phone: 931-349-4603 | |
Joseph C Archer, ANP C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 S Willow Ave, Cookeville, TN 38501 Phone: 931-526-9518 Fax: 931-372-0087 | |
Japheth F Harding, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 N Willow Ave, Cookeville, TN 38501 Phone: 931-528-8899 Fax: 931-528-5121 |