Melissa Susanne Christmas, DNP, APRN-RNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

259648 Issued in AZ

Practice address

1655 N Tegner St
Wickenburg, AZ 85390-1461

Phone

(928) 684-3926

NPI assigned

Jun 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• The Meadows of Wickenburg, Inc.

  • Psychiatric Hospital
  • Wickenburg, AZ
  • NPI 1689705154
  NPD (past)

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1235708140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7853 W BERYL AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N TEGNER ST",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901461",
            "telephone_number": "928-684-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTMAS",
        "first_name": "MELISSA",
        "middle_name": "SUSANNE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN-RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN166452",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "259648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikaila Renae Caraveo Ruiz, PTA
• Syreeta Shawnta Carter, FNP
• Kenneth B Caton, P.A.
• Champion Physical Therapy LLC
• John Chondropoulos
• Ronni C Chrzanowski, MD
• Laura L Churchill, MC, LPC
• Winnifred D Clark
• Helen Cobb, FNP
• Elaine Coller, LPC

• Psychiatric/Mental Health Nurse Practitioner in Wickenburg, AZ
• Providers in Wickenburg, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.