Active NPI
Melissa Gustafson
- Pediatric Nurse Practitioner
- Palo Alto, CA
National Provider Identifier
1891176434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- NP95002210
- Practice address
- 700 Welch Rd
Suite 301
Palo Alto, CA 94304-1502 - Phone
- (650) 497-9063
- NPI assigned
- Jun 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | NP95002210 | CA | Primary |
Addresses
Primary practice location
700 Welch Rd
Suite 301
Palo Alto, CA 94304-1502
Mailing address
1219 Edgewood Rd
Redwood City, CA 94062-2728
Phone (856) 981-3524
Other names 1
- Melissa Settar
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95002210 | CA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1891176434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 EDGEWOOD RD",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940622728",
"telephone_number": "856-981-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 WELCH RD",
"address_2": "SUITE 301",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041502",
"telephone_number": "650-497-9063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSTAFSON",
"first_name": "MELISSA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-09",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "NP95002210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "SETTAR",
"credential": "PNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.