Active NPI
Melissa Stevens
- Home Health Registered Nurse
- Chandler, AZ
National Provider Identifier
1265167191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN134132
- Practice address
- 4600 S Bright Angel Way
Chandler, AZ 85249-6005 - Phone
- (480) 224-3200
- NPI assigned
- Jul 25, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN134132 | AZ | Primary |
Addresses
Primary practice location
4600 S Bright Angel Way
Chandler, AZ 85249-6005
Mailing address
2547 S Bristol
Mesa, AZ 85209-2580
Phone (480) 529-4979
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN134132 | AZ | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1265167191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2547 S BRISTOL",
"city": "MESA",
"state": "AZ",
"postal_code": "852092580",
"telephone_number": "480-529-4979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 S BRIGHT ANGEL WAY",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852496005",
"telephone_number": "480-224-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-25",
"last_updated": "2022-07-25",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "AZ",
"license": "RN134132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.