Individual provider Active NPI

Melody Walk

  • Women's Health Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1487003992
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
4704244946 Issued in MI
Practice address
4680 McLeod Dr E
Saginaw, MI 48604-2852
Phone
(989) 791-9100
Fax
(989) 791-6746
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 4704244946 MI Primary
Adult Health Nurse Practitioner 363LA2200X 4704244946 MI

Addresses

Primary practice location

4680 McLeod Dr E
Saginaw, MI 48604-2852

Mailing address

4680 McLeod Dr E
Saginaw, MI 48604-2852
Phone (989) 791-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160705001929 MI Practitioner - Nurse Practitioner 1658663067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tiffany Kim, PLLCGroup PAC ID 5294101218, 2 clinicians

Practice addresses (Care Compare)

4680 McLeod Dr E
Saginaw, MI 48604-2852
Phone (989) 791-9100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Kim PLLC CurrentSince May 1, 2024 Accepting new patients

Locations

4680 McLeod Dr E
Saginaw, MI 48604
Phone (989) 791-9100

Interoperability endpoints

  • Direct secure messaging: mwalk40453@direct.covenanthealthcare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1487003992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 MCLEOD DR E",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042852",
            "telephone_number": "989-791-9100",
            "fax_number": "989-921-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 MCLEOD DR E",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042852",
            "telephone_number": "989-791-9100",
            "fax_number": "989-791-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALK",
        "first_name": "MELODY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704244946",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704244946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.