Active NPI
Melissa Ann Arangoa, MS,APN,ACNS-BC,AOCNS
- Oncology Clinical Nurse Specialist
- Chicago, IL
National Provider Identifier
1194235283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Clinical Nurse Specialist
- License
- 209.019740
- Practice address
- 5841 S. Maryland Ave, MC 1083
Chicago, IL 60637 - Phone
- (773) 926-1183
- Fax
- (773) 702-8690
- NPI assigned
- Oct 3, 2017
- Reactivated
- Sep 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041341525 | IL | |
| Registered Nurse | 163W00000X | 28167863A | IN | |
| Wound Care Registered Nurse | 163WW0000X | 28167863A | IN | |
| Ostomy Care Registered Nurse | 163WX1500X | 21867863A | IN | |
| Clinical Nurse Specialist | 364S00000X | 28167863A | IN | |
| Acute Care Clinical Nurse Specialist | 364SA2100X | 28167863A | IN | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 28167863A | IN | |
| Oncology Clinical Nurse Specialist | 364SX0200X | 209.019740 | IL | Primary |
Addresses
Primary practice location
5841 S. Maryland Ave, MC 1083
Chicago, IL 60637
Mailing address
17906 Roy Street
Lansing, IL 60438
Phone (708) 203-7356
Other names 1
- Ms. Melissa Ann Grzybowski
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041341525 | IL | MD | Registered Nurse |
| 21867863A | IN | MD | Ostomy Care Registered Nurse |
| 28167863A | IN | MD | Acute Care Clinical Nurse Specialist |
| 209.019740 | IL | MD | Oncology Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1194235283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17906 ROY STREET",
"city": "LANSING",
"state": "IL",
"postal_code": "60438",
"telephone_number": "708-203-7356",
"fax_number": "219-392-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S. MARYLAND AVE, MC 1083",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60637",
"telephone_number": "773-926-1183",
"fax_number": "773-702-8690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARANGOA",
"first_name": "MELISSA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MS,APN,ACNS-BC,AOCNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2019-09-05",
"deactivation_date": "2018-03-30",
"reactivation_date": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041341525",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28167863A",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "IN",
"license": "28167863A",
"primary": false
},
{
"code": "163WX1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ostomy Care",
"state": "IN",
"license": "21867863A",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "IN",
"license": "28167863A",
"primary": false
},
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "IN",
"license": "28167863A",
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "IN",
"license": "28167863A",
"primary": false
},
{
"code": "364SX0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Oncology",
"state": "IL",
"license": "209.019740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "GRZYBOWSKI",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "BSN, RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.