Provider Demographics
NPI:1487617502
Name:SHEFFIELD, MELISSA (ARNP, CNM)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:SHEFFIELD
Suffix:
Gender:F
Credentials:ARNP, CNM
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:WHITEHEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:83 W MILLER ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2031
Mailing Address - Country:US
Mailing Address - Phone:321-843-9792
Mailing Address - Fax:407-896-3785
Practice Address - Street 1:83 W MILLER ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2031
Practice Address - Country:US
Practice Address - Phone:321-843-9792
Practice Address - Fax:407-896-3785
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201901053NP-PP367A00000X, 363LX0001X, 367A00000X
FLARNP 3353292367A00000X
FLARNP3353292363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL118347800Medicaid