Individual provider Active NPI

Melanie Dawn Gaston, CFNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1265418529
Registry record updated Jul 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3320 Issued in AZ
Practice address
15631 N Oracle Rd
Suite 141
Tucson, AZ 85739-8691
Phone
(520) 825-6763
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP3320 AZ Primary
Family Nurse Practitioner 363LF0000X R860324 MS

Addresses

Primary practice location

15631 N Oracle Rd
Suite 141
Tucson, AZ 85739-8691

Mailing address

3951 E Wilds Rd
Tucson, AZ 85739-9712
Phone (228) 596-6792

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R860324MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Fe Indian Hospital Past Accepting new patients
Urgent Care of Long Beach LLC Past Accepting new patients
Acs Emergency Services of Mississippi Professional Association Nurse Practitioner PastSince Sep 20, 2020 Accepting new patients

Organizations & group practices 3

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1265418529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3951 E WILDS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857399712",
            "telephone_number": "228-596-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15631 N ORACLE RD",
            "address_2": "SUITE 141",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857398691",
            "telephone_number": "520-825-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTON",
        "first_name": "MELANIE",
        "middle_name": "DAWN",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3320",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R860324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.