Individual provider Active NPI

Melissa Ivy Sheridan, ARNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1659310530
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8695 Issued in AZ
Practice address
750 E Thunderbird Rd
Suite 3
Phoenix, AZ 85022-5306
Phone
(602) 674-6220
Fax
(602) 978-2198
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8695 AZ Primary

Addresses

Primary practice location

750 E Thunderbird Rd
Suite 3
Phoenix, AZ 85022-5306

Mailing address

2500 W Utopia Rd
Suite 100
Phoenix, AZ 85027-4171
Phone (623) 434-6200

Other identifiers 1

IdentifierTypeStateIssuer
307119700MedicaidFL

Other names 1

  • Mrs. Melissa Ivy Kryaninko Other name

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
I20161025001840 AZ Practitioner - Nurse Practitioner 0345528485 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

18404 N Tatum Blvd
Suite 101
Phoenix, AZ 85032-1511
Phone (602) 992-1900

Hospital & facility affiliations

  • Scottsdale Healthcare Home Health Home health agency, Scottsdale, AZ, CCN 037024
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Healthcare Corporation CurrentSince Oct 1, 2016 Accepting new patients
Squaw Peak Family Physicians PC Current Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC Current Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Jun 4, 2020 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Aug 1, 2023 Accepting new patients
Honorhealth Ambulatory CurrentSince Oct 1, 2016 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Jun 4, 2020 Accepting new patients
John C. Lincoln, LLC CurrentSince Oct 1, 2016 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Aug 1, 2023 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Oct 1, 2016 Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

750 E Thunderbird Rd
Ste 3
Phoenix, AZ 85022
Phone (602) 674-6220

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

20401 N 73rd St
Ste 105
Scottsdale, AZ 85255
Phone (480) 505-3484

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

450 E Rio Salado Pkwy
Bldg C
Tempe, AZ 85281
Phone (480) 882-7380

Interoperability endpoints

  • Direct secure messaging: msheridan125230@direct.honorhealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1659310530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274171",
            "telephone_number": "623-434-6200",
            "fax_number": "623-434-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E THUNDERBIRD RD",
            "address_2": "SUITE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225306",
            "telephone_number": "602-674-6220",
            "fax_number": "602-978-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "MELISSA",
        "middle_name": "IVY",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307119700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "KRYANINKO",
            "middle_name": "IVY",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.