Individual provider Active NPI

Melody Carter Mittelsteadt, RN

  • Registered Nurse
  • Anchorage, AK
National Provider Identifier
1013349851
Registry record updated Aug 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
35359 Issued in AK
Practice address
1201 N Muldoon Rd
Anchorage, AK 99504-6104
Phone
(907) 257-6791
NPI assigned
Aug 3, 2013
Last updated
Aug 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 35359 AK Primary

Addresses

Primary practice location

1201 N Muldoon Rd
Anchorage, AK 99504-6104

Mailing address

1239 Juneau Ave Apt a
Jber, AK 99505-1065
Phone (210) 897-9248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
35359AKMDRegistered Nurse

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1375488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375488000000",
    "number": "1013349851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 JUNEAU AVE APT A",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995051065",
            "telephone_number": "210-897-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N MULDOON RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995046104",
            "telephone_number": "907-257-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTELSTEADT",
        "first_name": "MELODY",
        "middle_name": "CARTER",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-03",
        "last_updated": "2013-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "35359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2013; 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.