Active NPI
Melissa Shirazi, RN, IBCLC
- Lactation Consultant (Non-RN)
- Melbourne, FL
National Provider Identifier
1679308100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L311641
- Practice address
- 2903 Centrum PL
Melbourne, FL 32940-7355 - Phone
- (321) 831-6232
- NPI assigned
- Sep 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9561021 | FL | |
| Lactation Consultant (Non-RN) | 174N00000X | L311641 | FL | Primary |
Addresses
Primary practice location
2903 Centrum PL
Melbourne, FL 32940-7355
Mailing address
2903 Centrum PL
Melbourne, FL 32940-7355
Phone (321) 831-6232
Other names 1
- Melissa Ancona
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 |
|---|---|---|---|
| RN9561021 | FL | MD | Registered Nurse |
| L311641 | FL | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1679308100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2903 CENTRUM PL",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407355",
"telephone_number": "321-831-6232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2903 CENTRUM PL",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329407355",
"telephone_number": "321-831-6232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRAZI",
"first_name": "MELISSA",
"credential": "RN, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-04",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9561021",
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "FL",
"license": "L311641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "ANCONA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.