Individual provider Active NPI

Melissa D Zanlunghi, PCNS-BC, PNP-BC

  • Pediatric Nurse Practitioner
  • Crofton, MD
National Provider Identifier
1538225180
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R151754 Issued in MD
Practice address
2225 Defense Highway
The Pediatric Group
Crofton, MD 21114
Phone
(410) 721-2273
Fax
(410) 721-3744
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 4704257601 MI
Pediatric Nurse Practitioner 363LP0200X R151754 MD Primary
Pediatric Clinical Nurse Specialist 364SP0200X 2554 CA

Addresses

Primary practice location

2225 Defense Highway
The Pediatric Group
Crofton, MD 21114

Mailing address

4333 English Morning LN
Ellicott City, MD 21043-6791
Phone (410) 905-0758

Other names 1

  • Miss Melissa A Davis Former name

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
R151754MDMDPediatric Nurse Practitioner
4704257601MIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Pediatric Group, LLP Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1538225180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 ENGLISH MORNING LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436791",
            "telephone_number": "410-905-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 DEFENSE HIGHWAY",
            "address_2": "THE PEDIATRIC GROUP",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "21114",
            "telephone_number": "410-721-2273",
            "fax_number": "410-721-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANLUNGHI",
        "first_name": "MELISSA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PCNS-BC, PNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704257601",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R151754",
            "primary": true
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "CA",
            "license": "2554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "DAVIS",
            "middle_name": "A",
            "prefix": "MISS",
            "credential": "PCNS-BC, PNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.