Individual provider Active NPI

Melissa Ann Webb, ARNP

  • Family Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1740549757
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9296958 Issued in FL
Practice address
1459 SW 74TH Dr
Gainesville, FL 32607-0002
Phone
(352) 507-3313
Fax
(479) 437-8226
NPI assigned
May 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 9296958 FL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X APRN9296958 FL
Family Nurse Practitioner 363LF0000X 9296958 FL Primary

Addresses

Primary practice location

1459 SW 74TH Dr
Gainesville, FL 32607-0002

Mailing address

1459 SW 74TH Dr
Gainesville, FL 32607-0002
Phone (352) 507-3313

Other names 1

  • Melissa Ann Diaz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121008000668 FL Practitioner - Nurse Practitioner 9436308459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9296958FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stankus Family Care Family CurrentSince Jun 1, 2022 Accepting new patients
Stankus Family Care Family CurrentSince Jun 1, 2022 Accepting new patients

Locations

18743 NW 234th St
High Springs, FL 32643
Phone (352) 214-5807

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJFDCD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1740549757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 SW 74TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326070002",
            "telephone_number": "352-507-3313",
            "fax_number": "479-437-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 SW 74TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326070002",
            "telephone_number": "352-507-3313",
            "fax_number": "479-437-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "9296958",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "APRN9296958",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9296958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "DIAZ",
            "middle_name": "ANN",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.