Individual provider Active NPI

Melanie D McCrotty, RN

  • Registered Nurse
  • Russellville, AR
National Provider Identifier
1336046150
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R83994 Issued in AR
Practice address
1203 W 4TH PL
Russellville, AR 72801-5835
Phone
(479) 968-2557
Fax
(479) 967-5574
NPI assigned
Oct 23, 2026
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R83994 AR Primary

Addresses

Primary practice location

1203 W 4TH PL
Russellville, AR 72801-5835

Mailing address

1203 W 4TH PL
Russellville, AR 72801-5835
Phone (479) 968-2557

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

NPI Registry JSON

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

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1336046150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 W 4TH PL",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015835",
            "telephone_number": "479-968-2557",
            "fax_number": "479-967-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 W 4TH PL",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015835",
            "telephone_number": "479-968-2557",
            "fax_number": "479-967-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCROTTY",
        "first_name": "MELANIE",
        "middle_name": "D",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R83994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; 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.