Individual provider Active NPI

Melody Sanchez, FNP

  • Family Nurse Practitioner
  • Murrieta, CA
National Provider Identifier
1689016438
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007662 Issued in CA
Practice address
25170 Hancock Ave Ste 200
Murrieta, CA 92562-5969
Phone
(951) 461-9300
Fax
(951) 461-9399
NPI assigned
Jul 22, 2013
Reactivated
Oct 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 797971 CA
Family Nurse Practitioner 363LF0000X 95007662 CA Primary

Addresses

Primary practice location

25170 Hancock Ave Ste 200
Murrieta, CA 92562-5969

Mailing address

25170 Hancock Ave Ste 200
Murrieta, CA 92562-5969
Phone (514) 619-3009

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
797971CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1689016438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25170 HANCOCK AVE STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625969",
            "telephone_number": "514-619-3009",
            "fax_number": "951-461-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25170 HANCOCK AVE STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625969",
            "telephone_number": "951-461-9300",
            "fax_number": "951-461-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "MELODY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "deactivation_date": "2014-01-10",
        "reactivation_date": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "797971",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.