Individual provider Active NPI

Melinda Marie Lawrence, DNP

  • Pediatric Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1487026167
Registry record updated Nov 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP8297 Issued in AZ
Practice address
7400 S Power Rd
Suite 140
Gilbert, AZ 85297-9281
Phone
(480) 615-2010
Fax
(480) 279-1189
NPI assigned
Oct 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP8297 AZ Primary

Addresses

Primary practice location

7400 S Power Rd
Suite 140
Gilbert, AZ 85297-9281

Mailing address

7400 S Power Rd
Suite 140
Gilbert, AZ 85297-9281
Phone (480) 615-2010

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
I20151217002534 AZ Practitioner - Nurse Practitioner 9638470511 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8297AZMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Childrens Banner Health Clinic LLC CurrentSince Dec 1, 2015 Accepting new patients
Banner Childrens Banner Health Clinic LLC CurrentSince Dec 1, 2015 Accepting new patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients

Locations

7400 S Power Rd
Ste 140
Gilbert, AZ 85297
Phone (480) 590-1442

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

1450 S Dobson Rd
Ste B220
Mesa, AZ 85202
Phone (480) 827-5044

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142
Phone (480) 512-3700

14416 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 583-5083

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": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447545600000",
    "number": "1487026167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 S POWER RD",
            "address_2": "SUITE 140",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979281",
            "telephone_number": "480-615-2010",
            "fax_number": "480-279-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 S POWER RD",
            "address_2": "SUITE 140",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979281",
            "telephone_number": "480-615-2010",
            "fax_number": "480-279-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "MELINDA",
        "middle_name": "MARIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP8297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.