Individual provider Active NPI

Melanie Dawn Lund, RN, PEDIATRIC CNP

  • Pediatric Nurse Practitioner
  • Sioux City, IA
National Provider Identifier
1053569541
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
C145924 Issued in IA
Practice address
1125 Pierce St
Sioux City, IA 51105-1485
Phone
(712) 255-8901
NPI assigned
Sep 9, 2008
Last updated
Jan 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 669125 TX
Pediatric Nurse Practitioner 363LP0200X C145924 IA Primary

Addresses

Primary practice location

1125 Pierce St
Sioux City, IA 51105-1485

Mailing address

3721 Pawnee PL
Sioux City, IA 51104-1833
Phone (214) 514-1457

Other names 1

  • Miss Melanie Dawn Anderson Former name

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)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Registered Nurse

Interoperability endpoints

  • Direct secure messaging: melanielund@pp.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1053569541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 PAWNEE PL",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041833",
            "telephone_number": "214-514-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051485",
            "telephone_number": "712-255-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUND",
        "first_name": "MELANIE",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "RN, PEDIATRIC CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "669125",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C145924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "ANDERSON",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.