Individual provider Active NPI

Melody Ann Hoffmann, LPN

  • Licensed Practical Nurse
  • Snowflake, AZ
National Provider Identifier
1407189798
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP045779 Issued in AZ
Practice address
682 W School Bus LN
Snowflake, AZ 85937-5262
Phone
(928) 536-4156
Fax
(928) 536-2995
NPI assigned
Sep 17, 2009
Last updated
Sep 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP045779 AZ Primary

Addresses

Primary practice location

682 W School Bus LN
Snowflake, AZ 85937-5262

Mailing address

PO Box 1640
Taylor, AZ 85939-1640
Phone (928) 536-4156

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

State licenses

LicenseStateTypeSpecialty
LP045779AZMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Snowflake Unified School District #5 Past Accepting new patients
Snowflake School District Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1407189798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1640",
            "city": "TAYLOR",
            "state": "AZ",
            "postal_code": "859391640",
            "telephone_number": "928-536-4156",
            "fax_number": "928-536-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 W SCHOOL BUS LN",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375262",
            "telephone_number": "928-536-4156",
            "fax_number": "928-536-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMANN",
        "first_name": "MELODY",
        "middle_name": "ANN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP045779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snowflake, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.