Individual provider Active NPI

Melissa Ann Antognini, WHNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1851568158
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
RN117634 Issued in AZ
Practice address
14220 Northsight Blvd
Suite 150
Scottsdale, AZ 85260-3950
Phone
(480) 585-0804
Fax
(480) 585-0828
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN117634 AZ Primary

Addresses

Primary practice location

14220 Northsight Blvd
Suite 150
Scottsdale, AZ 85260-3950

Mailing address

14220 Northsight Blvd
Suite 150
Scottsdale, AZ 85260-3950
Phone (480) 585-0804

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

State licenses

LicenseStateTypeSpecialty
RN117634AZMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1851568158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14220 NORTHSIGHT BLVD",
            "address_2": "SUITE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603950",
            "telephone_number": "480-585-0804",
            "fax_number": "480-585-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14220 NORTHSIGHT BLVD",
            "address_2": "SUITE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603950",
            "telephone_number": "480-585-0804",
            "fax_number": "480-585-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOGNINI",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "RN117634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.