Active NPI
Melissa Lynn Liggins, NNP
- Neonatal Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- AP2522
- Practice address
- 1919 E Thomas Rd
Phoenix, AZ 85016-7710 - Phone
- (602) 933-6345
- NPI assigned
- Nov 3, 2006
- 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | NP20432 | CA | |
| Neonatal Nurse Practitioner | 363LN0000X | AP2522 | AZ | Primary |
Addresses
Primary practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Mailing address
2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008
Phone (602) 933-3124
Other practice location 1
300 W Clarendon Ave Ste 375
Phoenix, AZ 85013-3476
Phone (602) 277-4161 ext. 31
Other practice location 2
3010 Childrens Way
San Diego, CA 92123-4223
Phone (858) 966-5818
Other practice location 3
2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (858) 966-5818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146861 | Medicaid | AZ |
Other names 1
- Melissa Lynn Chamberlin (Huber)
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 |
|---|---|---|---|---|
| I20241016004261 | AZ | Practitioner - Nurse Practitioner | 9133341076 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP20432 | CA | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Hospital | Current | Accepting new patients | |
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Neonatology Associates, LTD | Neonatal | Past | Accepting new patients |
| Rady Children'S Hospital San Diego | Past | Accepting new patients |
Locations
1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961
3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356
3420 S Mercy Rd
Ste 121
Gilbert, AZ 85297
Phone (602) 933-2263
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001
2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016
33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1598844003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 E THOMAS RD STE 130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850160008",
"telephone_number": "602-933-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167710",
"telephone_number": "602-933-6345"
}
],
"practiceLocations": [
{
"address_1": "300 W Clarendon Ave Ste 375",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850133476",
"country_code": "US",
"telephone_number": "602-277-4161 x31",
"fax_number": "602-265-2011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3010 Childrens Way",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921234223",
"country_code": "US",
"telephone_number": "858-966-5818",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2185 Citracado Pkwy",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920294159",
"country_code": "US",
"telephone_number": "858-966-5818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIGGINS",
"first_name": "MELISSA",
"middle_name": "LYNN",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "CA",
"license": "NP20432",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "AZ",
"license": "AP2522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146861",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "CHAMBERLIN (HUBER)",
"middle_name": "LYNN",
"credential": "NNP",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 23, 2024; 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.