Active NPI
Melissa Ivy Sheridan, ARNP
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP8695
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307119700 | Medicaid | FL |
Other names 1
- Mrs. Melissa Ivy Kryaninko
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
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
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
- Honor Health John C. Lincoln Medical Center
- Honorhealth Scottsdale Shea Medical Center
- Honorhealth Deer Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottsdale Healthcare Corporation | Current | 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 | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth-Fastmed Ambulatory Holdings LLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Urgent Care, LLC | Current | Accepting new patients | |
| John C. Lincoln, LLC | Current | Accepting new patients | |
| Honorhealth-Fastmed Ambulatory Holdings LLC | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1043851793
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1740273614
-
- Urgent Care Clinic/Center
- Surprise, AZ
- NPI 1467069047
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1033104716
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1285338343
-
- Urgent Care Clinic/Center
- Scottsdale, AZ
- NPI 1700423415
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1700493343
-
- Urgent Care Clinic/Center
- Tucson, AZ
- NPI 1801403480
-
- Geriatric Medicine (Family Medicine) Physician
- Phoenix, AZ
- NPI 1861624702
-
- Family Medicine Physician
- Tempe, AZ
- NPI 1821494204
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
-
- Home Health Agency
- Phoenix, AZ
- NPI 1972562460
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.