Individual provider Active NPI

Melissa Sulek

  • Licensed Practical Nurse
  • Prescott Valley, AZ
National Provider Identifier
1841113792
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
254924 Issued in AZ
Practice address
3300 N Lake Valley Rd
Prescott Valley, AZ 86314-2287
Phone
(928) 759-4500
NPI assigned
Jul 30, 2026
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 254924 AZ Primary

Addresses

Primary practice location

3300 N Lake Valley Rd
Prescott Valley, AZ 86314-2287

Mailing address

3830 N Windsong Dr Apt 2103
Prescott Valley, AZ 86314-0169
Phone (928) 759-4000

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1841113792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 N WINDSONG DR APT 2103",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863140169",
            "telephone_number": "928-759-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N LAKE VALLEY RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142287",
            "telephone_number": "928-759-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULEK",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "254924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.