Melissa Jayne Assaf, CPNP-PC DNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP3929 Issued in AZ

Practice address

5310 W Thunderbird Rd Ste 301
Glendale, AZ 85306-4710

Phone

(602) 865-4442

Fax

(602) 865-4507

NPI assigned

Jan 26, 2011

Last updated

Oct 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Banner Physician Super Specialists Arizona LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1841573870
  Medicare reassignment NPD
• Banner Physician Super Specialists Arizona LLC

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
  • NPI 1386462810
  NPD
• Rose Medical Pavilion PLLC

  • Oncology Clinic/Center
  • Phoenix, AZ
  • NPI 1154101152
  NPD (past)

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1740586593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 W THUNDERBIRD RD STE 301",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064710",
            "telephone_number": "602-865-4442",
            "fax_number": "602-865-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 W THUNDERBIRD RD STE 301",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064710",
            "telephone_number": "602-865-4442",
            "fax_number": "602-865-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSAF",
        "first_name": "MELISSA",
        "middle_name": "JAYNE",
        "credential": "CPNP-PC DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP3929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740586593",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ask Alliance Healthcare, PLLC (Therapeutic Healthy Living, LLC)
• Mary Beth Askew, OTR/L
• Aspire Community Services
• Aspire Health LLC
• Aspiring Anew Generation
• Assisted Steps of Arizona
• Assisted Steps of Arizona
• Associated Dental Care Providers
• Associated Dental Care Providers
• Associated Dental Care Providers, LLC (Associated Dental & Orthodontics Glendale)

• Pediatric Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.