Active NPI
Melissa J Prince Martin
- Adult Health Nurse Practitioner
- Scottsdale, AZ
National Provider Identifier
1700914199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP4404
- Practice address
- 15333 N Pima Rd Ste 305
Scottsdale, AZ 85260-2717 - Phone
- (480) 244-0703
- Fax
- (866) 499-5781
- NPI assigned
- Feb 28, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP4404 | AZ | Primary |
Addresses
Primary practice location
15333 N Pima Rd Ste 305
Scottsdale, AZ 85260-2717
Mailing address
7344 E Deer Valley Rd
Suite 100
Scottsdale, AZ 85255-7456
Phone (480) 513-1042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2023 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- melissa.prince.1@22461.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1700914199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7344 E DEER VALLEY RD",
"address_2": "SUITE 100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852557456",
"telephone_number": "480-513-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15333 N PIMA RD STE 305",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602717",
"telephone_number": "480-244-0703",
"fax_number": "866-499-5781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE MARTIN",
"first_name": "MELISSA",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "AP4404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.