Kirsten M Mellinger, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

AZ979 Issued in AZ

Practice address

940 N Switzer Cyn Dr #101
Flagstaff, AZ 86001-4852

Phone

(928) 774-7949

Fax

(928) 774-7207

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northern Arizona Optometry

  • Optometrist
  • Flagstaff, AZ
  • NPI 1285819136
  NPD (past)
• Northern Arizona Optometry, PLLC

  • Optometrist
  • Flagstaff, AZ
  • NPI 1326587577
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1013064120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N SWITZER CYN DR #101",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014852",
            "telephone_number": "928-774-7949",
            "fax_number": "928-774-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N SWITZER CYN DR #101",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014852",
            "telephone_number": "928-774-7949",
            "fax_number": "928-774-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLINGER",
        "first_name": "KIRSTEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Morgan Medina, DH
• Lynn E Medoff, P.T.
• Emilie Carbonel Medrano, MOT, OTRL
• Marshall Meier, M.D.
• Jennifer Ann Meiser Hayes, RN
• Mark D Mellinger, MD
• Michael Jack Mellott, ED.D.
• Ramona N Mellott, PH.D.
• Mend Health Solutions LLC
• Paulina Mendiola

• Optometrist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.