Melissa Christine Lebouton, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4327 Issued in AZ

Practice address

14418 W Meeker Blvd
Suite 110
Sun City West, AZ 85375-5283

Phone

(623) 584-9500

Fax

(623) 584-4945

NPI assigned

Oct 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Balance Hormone Chandler, PLLC

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1669019220
  NPD (past)
• Daniel L. Kessler, M. D., Facp, P.L.L.C.

  • Internal Medicine Physician
  • Sun City West, AZ
  • NPI 1205013067
  NPD (past)

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1144471970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6771 W MINER TRL",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853833008",
            "telephone_number": "623-748-8373",
            "fax_number": "623-748-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14418 W MEEKER BLVD",
            "address_2": "SUITE 110",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755283",
            "telephone_number": "623-584-9500",
            "fax_number": "623-584-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOUTON",
        "first_name": "MELISSA",
        "middle_name": "CHRISTINE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4327",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Santiago L Lardizabal, MD
• Richard Gray Lassiter, M.D
• Cindy Le
• Dai-an Nguyen Le, PA
• Le Huu Le, D.O.
• Mary Ann Lebunfacil
• Wen-Shin Lee, MD
• Debra Leef
• Viktor Lekic, MD
• Brittney Lemming

• Medical Physician Assistant in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.