Individual provider Active NPI

Melissa Morrison, NP-C

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1356792410
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
TAP8772 Issued in AZ
Practice address
2002 E Osborn Rd
Phoenix, AZ 85016-7236
Phone
(602) 730-3388
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP8772 AZ
Adult Health Nurse Practitioner 363LA2200X TAP8772 AZ Primary

Addresses

Primary practice location

2002 E Osborn Rd
Phoenix, AZ 85016-7236

Mailing address

73 W Wilshire Dr
Phoenix, AZ 85003-1024
Phone (602) 516-6033

Other practice location 1

3306 W Roosevelt St
ste. A
Phoenix, AZ 85009-3404
Phone (602) 889-9401

Other practice location 2

244 N Extension Rd
Mesa, AZ 85201-6300
Phone (602) 730-3388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220616001258 AZ Order and Referring Only - Nurse Practitioner 7214215243

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TAP8772AZMDAdult Health Nurse Practitioner
AP8772AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Equality Health at Home Inc Past Accepting new patients
Equality Medical Group LLC Past Accepting new patients
Crossroads West Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melissa.morrison@crossroads-360-inc.direct.kno2fy.com
  • Direct secure messaging: melissa.morrisonnp.p1@direct.crossroads.nextgenshare.com
  • Direct secure messaging: melissa.morrison.p2@direct.crossroads.nextgenshare.com

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": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1356792410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 W WILSHIRE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031024",
            "telephone_number": "602-516-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 E OSBORN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167236",
            "telephone_number": "602-730-3388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3306 W Roosevelt St",
            "address_2": "ste. A",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850093404",
            "country_code": "US",
            "telephone_number": "602-889-9401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "244 N Extension Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852016300",
            "country_code": "US",
            "telephone_number": "602-730-3388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "MELISSA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8772",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "TAP8772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.