Active NPI
Melissa Morrison, NP-C
- Adult Health Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1356792410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- TAP8772
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220616001258 | AZ | Order and Referring Only - Nurse Practitioner | 7214215243 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TAP8772 | AZ | MD | Adult Health Nurse Practitioner |
| AP8772 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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
- melissa.morrison@crossroads-360-inc.direct.kno2fy.com
- melissa.morrisonnp.p1@direct.crossroads.nextgenshare.com
- 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.
-
- Substance Abuse Rehabilitation Facility
- Phoenix, AZ
- NPI 1003244153
-
- Clinic/Center
- Phoenix, AZ
- NPI 1770148322
-
- Internal Medicine Physician
- Frisco, TX
- NPI 1730936329
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.