Individual provider Active NPI

Melissa Ann Arangoa, MS,APN,ACNS-BC,AOCNS

  • Oncology Clinical Nurse Specialist
  • Chicago, IL
National Provider Identifier
1194235283
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinical Nurse SpecialistTaxonomy code 364SX0200X
License
209.019740 Issued in IL
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

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
041341525ILMDRegistered Nurse
21867863AINMDOstomy Care Registered Nurse
28167863AINMDAcute Care Clinical Nurse Specialist
209.019740ILMDOncology 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.

Verify at the official NPI Registry.