Active NPI
Judith Ann Melton, CPM, LM
- Midwife
- Mesa, AZ
National Provider Identifier
1114145661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- AZ 145
- Practice address
- 86 W University Dr Ste 107F
Mesa, AZ 85201-5857 - Phone
- (480) 784-7396
- Fax
- (480) 668-1948
- NPI assigned
- Apr 22, 2007
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | AZ 145 | AZ | Primary |
| Lactation Consultant (Non-RN) | 174N00000X |
Addresses
Primary practice location
86 W University Dr Ste 107F
Mesa, AZ 85201-5857
Mailing address
4040 E McDowell Rd Ste 212
Phoenix, AZ 85008-4438
Phone (480) 784-7396
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 |
|---|---|---|---|
| AZ 145 | AZ | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1114145661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 E MCDOWELL RD STE 212",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084438",
"telephone_number": "480-784-7396",
"fax_number": "480-668-1948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 W UNIVERSITY DR STE 107F",
"city": "MESA",
"state": "AZ",
"postal_code": "852015857",
"telephone_number": "480-784-7396",
"fax_number": "480-668-1948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "JUDITH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CPM, LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-22",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "AZ",
"license": "AZ 145",
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.