Individual provider Active NPI

Melanie Guttman

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1245017383
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
296203 Issued in AZ
Practice address
1311 E Bell Rd
Phoenix, AZ 85022-2724
Phone
(602) 594-5040
NPI assigned
Sep 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 296203 AZ Primary

Addresses

Primary practice location

1311 E Bell Rd
Phoenix, AZ 85022-2724

Mailing address

1233 E Desert Park LN
Phoenix, AZ 85020-4209
Phone (480) 707-1816

Other practice location 1

3130 E Roosevelt St Bldg C
Phoenix, AZ 85008-5036
Phone (480) 904-7787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231005000144 AZ Practitioner - Nurse Practitioner 4688029028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Arizona LLCGroup PAC ID 4981797982, 43 clinicians

Practice addresses (Care Compare)

2727 W Bell Rd
Phoenix, AZ 85053-3059
Phone (602) 680-2386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
296203AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Arizona LLC Family CurrentSince Jan 27, 2025 Accepting new patients

Locations

1311 E Bell Rd
Phoenix, AZ 85022
Phone (602) 549-5040

2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1245017383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 E DESERT PARK LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204209",
            "telephone_number": "480-707-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222724",
            "telephone_number": "602-594-5040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 E Roosevelt St Bldg C",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850085036",
            "country_code": "US",
            "telephone_number": "480-904-7787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTTMAN",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "296203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.