Active NPI
Melissa P Miller, RN
- Maternal Newborn Registered Nurse
- Phoenix, AZ
National Provider Identifier
1639428196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal Newborn Registered Nurse
- License
- RN196005
- Practice address
- 4212 North 16TH Street
Phoenix, AZ 85016-5319 - Phone
- (602) 263-1200
- Fax
- (602) 200-5383
- NPI assigned
- Aug 30, 2012
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 795180 | CA | |
| Registered Nurse | 163W00000X | 9284954 | FL | |
| Registered Nurse | 163W00000X | 172612 | TN | |
| Registered Nurse | 163W00000X | 200416-9 | MN | |
| Registered Nurse | 163W00000X | 626082 | PA | |
| Registered Nurse | 163W00000X | 131834 | LA | |
| Maternal Newborn Registered Nurse | 163WM0102X | RN196005 | AZ | Primary |
Addresses
Primary practice location
4212 North 16TH Street
Phoenix, AZ 85016-5319
Mailing address
14575 W Hidden Terrace Loop
Litchfield Park, AZ 85340-0990
Phone (901) 417-2393
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 795180 | CA | MD | Registered Nurse |
| 9284954 | FL | MD | Registered Nurse |
| 131834 | LA | MD | Registered Nurse |
| 200416-9 | MN | MD | Registered Nurse |
| 626082 | PA | MD | Registered Nurse |
| 172612 | TN | MD | Registered Nurse |
| RN196005 | AZ | MD | Maternal Newborn Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1639428196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14575 W HIDDEN TERRACE LOOP",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853400990",
"telephone_number": "901-417-2393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 NORTH 16TH STREET",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850165319",
"telephone_number": "602-263-1200",
"fax_number": "602-200-5383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MELISSA",
"middle_name": "P",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "795180",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9284954",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "172612",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "200416-9",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "626082",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "131834",
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "AZ",
"license": "RN196005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.