Melody G. Mitchel, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

6754 Issued in CA

Practice address

23321 El Toro Rd Ste G
Socpa
Lake Forest, CA 92630-4825

Phone

(949) 770-0513

Fax

(949) 770-2941

NPI assigned

Feb 16, 2007

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

Other names 1

• Melody Kay Girdner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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.

• Pediatric Subspecialty Faculty, Inc.

  • Pediatrics Physician
  • Orange, CA
  • NPI 1790850279
  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1992849947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23321 EL TORO RD",
            "address_2": "SOCPA",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304825",
            "telephone_number": "949-770-0711",
            "fax_number": "949-770-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23321 EL TORO RD STE G",
            "address_2": "SOCPA",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304825",
            "telephone_number": "949-770-0513",
            "fax_number": "949-770-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHEL",
        "first_name": "MELODY",
        "middle_name": "G.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "6754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELODY",
            "last_name": "GIRDNER",
            "middle_name": "KAY",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brooklyn Minor
• Cristina Miramontes
• Thannya Miranda
• Stephen John Misch, M.D
• Misurgical Multispecialty Medical Group
• Jaslyn Mitchell
• Lesli Denise Mitchell, LCSW
• Peter Mitchell, PT, DPT
• Shannon C Mitchell, SLPA
• MLSG Corp

• Pediatric Nurse Practitioner in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.