Individual provider Active NPI

Melissa Rose Filippello, D.C., M.S., B.A.

  • Nutrition Chiropractor
  • Gilbert, AZ
National Provider Identifier
1356551402
Registry record updated Aug 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
7684 Issued in AZ
Practice address
8490 S Power Rd
Suite 105, PMB 103
Gilbert, AZ 85297
Phone
(480) 292-2829
NPI assigned
May 23, 2007
Last updated
Aug 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 4368 AZ
Nutritionist 133N00000X AZ
Nutrition Chiropractor 111NN1001X 7684 AZ Primary

Addresses

Primary practice location

8490 S Power Rd
Suite 105, PMB 103
Gilbert, AZ 85297

Mailing address

PO Box 484
Queen Creek, AZ 85142-1809
Phone (480) 292-2829

Other practice location 1

18470 E Pine Barrens Ave
Queen Creek, AZ 85142-3608
Phone (480) 292-2829

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
Credentials
Bachelor of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
4368AZMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535155200000",
    "number": "1356551402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 484",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421809",
            "telephone_number": "480-292-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8490 S POWER RD",
            "address_2": "SUITE 105, PMB 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85297",
            "telephone_number": "480-292-2829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18470 E Pine Barrens Ave",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851423608",
            "country_code": "US",
            "telephone_number": "480-292-2829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FILIPPELLO",
        "first_name": "MELISSA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S., B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2018-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "AZ",
            "license": "4368",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "AZ",
            "license": "7684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2018; 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.