Individual provider Active NPI

Melissa A Looney, APN

  • Family Nurse Practitioner
  • West Memphis, AR
National Provider Identifier
1285735183
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A001693 Issued in AR
Practice address
310 W Tyler
West Memphis, AR 72301
Phone
(870) 732-2398
Fax
(870) 732-3647
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X AO1693 AR
Cardiovascular Disease Physician 207RC0000X APN0000012160 TN
Family Nurse Practitioner 363LF0000X A001693 AR Primary

Addresses

Primary practice location

310 W Tyler
West Memphis, AR 72301

Mailing address

PO Box 1000 Dept 960
Memphis, TN 38148-0001
Phone (901) 763-0200

Other practice location 1

310 W Tyler
West Memphis, AR 72301
Phone (870) 732-2398

Other identifiers 1

IdentifierTypeStateIssuer
149768758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, 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
I20070606000138 TN Practitioner - Nurse Practitioner 9931001880 Reassigns benefits to 1 organization
I20210713001575 TX Practitioner - Nurse Practitioner 9931001880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AO1693ARMDCardiovascular Disease Physician
APN0000012160TNMDCardiovascular Disease Physician
A001693ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardio & Renal Therapeutics of North Texas PLLC CurrentSince Jun 1, 2021 Accepting new patients
Sutherland Cardiology Clinic, P.C. Current Accepting new patients

Locations

5830 Collin McKinney Pkwy
Ste 302
McKinney, TX 75070
Phone (212) 272-2774

4510 Medical Center Dr
Ste 202
McKinney, TX 75069
Phone (214) 547-7557

300 N Highland Ave
Ste 365
Sherman, TX 75092
Phone (516) 721-7069

Interoperability endpoints

  • Direct secure messaging: melissalooney@sccpc.allscriptsdirect.net

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1285735183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 960",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-763-0200",
            "fax_number": "901-260-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W TYLER",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "72301",
            "telephone_number": "870-732-2398",
            "fax_number": "870-732-3647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 W Tyler",
            "address_purpose": "LOCATION",
            "city": "West Memphis",
            "state": "AR",
            "postal_code": "72301",
            "country_code": "US",
            "telephone_number": "870-732-2398",
            "fax_number": "870-732-3647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOONEY",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "AO1693",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "APN0000012160",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A001693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149768758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

Verify at the official NPI Registry.