Individual provider Active NPI

Melanie Anne Doty, NP MSN

  • Family Nurse Practitioner
  • Santa Rosa, CA
National Provider Identifier
1790880300
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPC #8930 Issued in CA
Practice address
University of California Santa Cruz Student Health Cent
1156 High Street
Santa Rosa, CA 95064
Phone
(831) 459-2211
Fax
(831) 459-3546
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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 RN 307291 CA
Family Nurse Practitioner 363LF0000X NPC #8930 CA Primary

Addresses

Primary practice location

University of California Santa Cruz Student Health Cent
1156 High Street
Santa Rosa, CA 95064

Mailing address

401 Bicentennial Way
Santa Rosa, CA 95403-2149
Phone (707) 571-3188

Other identifiers 1

IdentifierTypeStateIssuer
NPF#8930OtherCAFURNISHING NUMBER

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
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN 307291CAMDRegistered Nurse
8930CAMDVeterinarian
NPC #8930CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1790880300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BICENTENNIAL WAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032149",
            "telephone_number": "707-571-3188",
            "fax_number": "707-571-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF CALIFORNIA SANTA CRUZ STUDENT HEALTH CENT",
            "address_2": "1156 HIGH STREET",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95064",
            "telephone_number": "831-459-2211",
            "fax_number": "831-459-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "MELANIE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "NP MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN 307291",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPC #8930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FURNISHING NUMBER",
            "identifier": "NPF#8930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.