Melanie Larson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN098635 Issued in AZ

Practice address

70 Patton Hwy
St. David, AZ 85630

Phone

(520) 720-4781

NPI assigned

Sep 12, 2008

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

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.

• St. David Unified School District

  • Local Education Agency (LEA)
  • Saint David, AZ
  • NPI 1235287822
  NPD (past)

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1063661247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 N SIBYL RD",
            "city": "SAINT DAVID",
            "state": "AZ",
            "postal_code": "856306172",
            "telephone_number": "520-720-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PATTON HWY",
            "city": "ST. DAVID",
            "state": "AZ",
            "postal_code": "85630",
            "telephone_number": "520-720-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "MELANIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN098635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malachi Rylan Coleman
• James Braden Davis, ED.S.
• Ronald Higginbotham, SLP-A
• Madelyn Sophia Hossman
• Aubri Jacquez, RN, FNC
• Med-Trans Corporation
• Donald R Preston, DDS
• Manuela Ramirez
• Jonathan Scott Richeson, BS
• St. David Unified School District

• All providers in St. David, AZ
• Registered Nurse in Arizona

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