Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Melville, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1790804433

Lisa Melville, NURSEPRACTITIONER is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2004, 22 years ago. Practices with Medical Care of Boston Management Corporation, a 294-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
22
Licensed in
MA, RI
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

2 Dudley St Ste 470
Providence, RI 02905-3236
Phone: (401) 272-1800
Fax: (401) 868-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NPP37658 (RI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 206157 (MA)

Record details

NPI number1790804433
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMarch 27, 2007
Last updated in NPPESJanuary 9, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Medical Care Of Boston Management Corporation — 294 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence