Individual provider Active NPI

Lindsay R Melson, APN

  • Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1669561411
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A02926 Issued in AR
Practice address
9500 Kanis Rd
Hickingbotham Outpaitent Center
Little Rock, AR 72205-6324
Phone
(501) 202-1902
Fax
(501) 202-1512
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A02926 AR Primary

Addresses

Primary practice location

9500 Kanis Rd
Hickingbotham Outpaitent Center
Little Rock, AR 72205-6324

Mailing address

11001 Executive Center Drive
Suite 200
Little Rock, AR 72211-7101
Phone (501) 812-7587

Other identifiers 4

IdentifierTypeStateIssuer
71-0781138OtherGREAT WEST
710781138028OtherTRICARE
4345098OtherCIGNA
5A116OtherBCBS

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A02926ARMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lindsay.melson.1@20456.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1669561411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DRIVE",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722117101",
            "telephone_number": "501-812-7587",
            "fax_number": "501-812-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 KANIS RD",
            "address_2": "HICKINGBOTHAM OUTPAITENT CENTER",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056324",
            "telephone_number": "501-202-1902",
            "fax_number": "501-202-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELSON",
        "first_name": "LINDSAY",
        "middle_name": "R",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A02926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "71-0781138",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "710781138028",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4345098",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5A116",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.