Individual provider Active NPI

Melanie Cabezas Phipps, CNM, NP

  • Midwife
  • La Jolla, CA
National Provider Identifier
1295070555
Registry record updated Aug 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
1989 Issued in CA
Practice address
7455 Miramar Ave
La Jolla, CA 92037-5250
Phone
(858) 454-5436
NPI assigned
Nov 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 460153 CA
Ambulatory Women's Health Care Registered Nurse 163WW0101X 5477 CA
Midwife 176B00000X 1989 CA Primary

Addresses

Primary practice location

7455 Miramar Ave
La Jolla, CA 92037-5250

Mailing address

7455 Miramar Ave
La Jolla, CA 92037-5250
Phone (858) 525-5733

Other names 1

  • Ms. Melanie Cabezas Phipps-Morgan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160613000821 CA Order and Referring Only - Nurse Practitioner 0840580304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
460153CAMDRegistered Nurse
1989CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409443200000",
    "number": "1295070555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7455 MIRAMAR AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375250",
            "telephone_number": "858-525-5733",
            "fax_number": "206-984-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 MIRAMAR AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375250",
            "telephone_number": "858-454-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "MELANIE",
        "middle_name": "CABEZAS",
        "name_prefix": "Ms.",
        "credential": "CNM, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-27",
        "last_updated": "2014-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "460153",
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "CA",
            "license": "5477",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "1989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "PHIPPS-MORGAN",
            "middle_name": "CABEZAS",
            "prefix": "MS.",
            "credential": "CNM, NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.