Individual provider Active NPI

Kristin Melendez, DNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1194496026
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
218640 Issued in AZ
Practice address
7140 E Rosewood St Ste 110
Tucson, AZ 85710-1346
Phone
(480) 210-3407
Fax
(573) 240-9791
NPI assigned
Sep 21, 2021
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 218640 AZ
Family Nurse Practitioner 363LF0000X 218640 AZ Primary

Addresses

Primary practice location

7140 E Rosewood St Ste 110
Tucson, AZ 85710-1346

Mailing address

2470 S Saint Thomas Aquinas Dr
Tucson, AZ 85713-7418
Phone (520) 891-5470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250826001613 AZ Practitioner - Nurse Practitioner 3173023983 Reassigns benefits to 2 organizations
I20251003000556 TX Practitioner - Nurse Practitioner 3173023983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pascua Yaqui TribeGroup PAC ID 7618033598, 11 clinicians

Practice addresses (Care Compare)

4567 W Tetakusim Rd
Tucson, AZ 85746-9713
Phone (520) 879-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
218640AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Community Health Family CurrentSince Jun 7, 2025 Accepting new patients
Saguaro Wound Care PLLC Family CurrentSince Nov 9, 2025 Accepting new patients
Pascua Yaqui Tribe Current Accepting new patients
Pascua Yaqui Tribe CurrentSince Aug 1, 2025 Accepting new patients
Saguaro Surgical, P C Past Accepting new patients

Locations

4700 S McClintock Dr
Ste 140
Tempe, AZ 85282
Phone (480) 420-6622

2502 N Dodge Blvd
Ste 130
Tucson, AZ 85716
Phone (480) 851-6309

7140 E Rosewood St
Ste 100
Tucson, AZ 85710
Phone (520) 731-5500

7140 E Rosewood St
Ste 110
Tucson, AZ 85710
Phone (480) 210-3407

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1194496026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 S SAINT THOMAS AQUINAS DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857137418",
            "telephone_number": "520-891-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7140 E ROSEWOOD ST STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101346",
            "telephone_number": "480-210-3407",
            "fax_number": "573-240-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "KRISTIN",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "218640",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "218640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.