Active NPI
Melissa Hardy, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Memphis, TN
National Provider Identifier
1104662931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 36773
- Practice address
- 871 Ridgeway Loop Rd Ste 108
Memphis, TN 38120-4026 - Phone
- (901) 871-0170
- Fax
- (901) 871-0353
- NPI assigned
- Jul 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 906767 | MS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 36773 | TN | Primary |
Addresses
Primary practice location
871 Ridgeway Loop Rd Ste 108
Memphis, TN 38120-4026
Mailing address
6373 N Quail Hollow Rd Ste 101
Memphis, TN 38120-1405
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 906767 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
| 36773 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Interoperability endpoints
- melissa.hardy.1@32343.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1104662931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6373 N QUAIL HOLLOW RD STE 101",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381201405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 RIDGEWAY LOOP RD STE 108",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381204026",
"telephone_number": "901-871-0170",
"fax_number": "901-871-0353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "MELISSA",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-02",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "906767",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "36773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.