Melissa D Lonnecker, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4977471-1206 Issued in UT

Practice address

8899 S 700 E
Suite 155
Sandy, UT 84070-1810

Phone

(801) 413-7775

Fax

(801) 878-7507

NPI assigned

Jul 3, 2006

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

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Draper Family Medical Associates, LLC

  • Family Medicine Physician
  • Draper, UT
  • NPI 1689893174
  NPD (past)
• Jennifer Fontius MD PLLC

  • Primary Care Clinic/Center
  • Scottsdale, AZ
  • NPI 1205039666
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1851320550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8899 S 700 E",
            "address_2": "SUITE 155",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840701810",
            "telephone_number": "801-413-7775",
            "fax_number": "801-878-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8899 S 700 E",
            "address_2": "SUITE 155",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840701810",
            "telephone_number": "801-413-7775",
            "fax_number": "801-878-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONNECKER",
        "first_name": "MELISSA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "4977471-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lone Peak Pediatric Dentistry
• Lone Peak Primary Care LLC
• Peter Lonergan
• Jennifer Elizabeth Longenecker, CCC-SLP
• Jennifer Longmore, CMHC
• Lorena Cannon LLC
• Makenzi Kaye Lorenzen
• Jeralyn Smith Lovell, B.S.N.
• Danica D. F. Loveridge, CNM, DNP
• Joshua B T R M Lowry, MD

• Medical Physician Assistant in Sandy, UT
• Providers in Sandy, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.