BLUE SKY MENTAL HEALTH AND WELLNESS PLLC (NPI# 1386250736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386250736 |
| Entity Type | Organization |
| Organization Name | BLUE SKY MENTAL HEALTH AND WELLNESS PLLC |
| Practice Address |
7563 E Park View Dr Tucson AZ 85715-3561 |
| Practice Telephone | 5209558012 |
| Mailing Telephone | 5209558012 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | DR. MELANIE MARTIN (NURSE PRACTITIONER) |
| Authorized Official Telephone | 5054508012 |
| Authorized Official Credential | DNP, PMHNP-BC,FN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7563 E PARK VIEW DR |
| City | TUCSON |
| State | AZ |
| Zip Code | 85715-3561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451677 | Sharie Williams | Physical Therapist | 6267 E Tanque Verde Road, Suite 150, Tucson, AZ 85715 | 2019-08-08 |
| 1558860288 | Christina Reece | Assistant Behavior Analyst | 1161 N El Dorado, 103, Tucson, AZ 85715 | 2018-02-08 |
| 1548789761 | John Kenneth Adams | Occupational Therapy Assistant | 2900 E. Milber St, Tucson, AZ 85715 | 2017-09-19 |
| 1992229991 | Southern Arizona Urgent Care, LLC | Clinic/Center | 6572 E. Grant Rd, Ste. 130, Tucson, AZ 85715 | 2017-08-01 |
| 1104373364 | Arizona Rehab Campus, LLC | Substance Abuse Rehabilitation Facility | 6944 E Tanque Verde Rd, Tucson, AZ 85715 | 2016-09-06 |
| 1194110866 | Negin Saghafi | Dentist | 7455 E. Tanque Verde Road, Tucson, AZ 85715 | 2015-03-31 |
| 1730514282 | Rhea Lewis Tribe | Speech-Language Pathologist | 6901 E Soyaluna Pl, Tucson, AZ 85715 | 2013-09-03 |
| 1043569536 | Shaharyar Ashraf | Dentist | 7111 East Tanque Verde Road, Tucson, AZ 85715 | 2012-08-30 |
| 1093013534 | Jimmy Aziz | Behavioral Analyst | 6369 E Tanque Road, Suite 100, Tucson, AZ 85715 | 2011-03-08 |
| 1053625848 | Gerinet Palliative Care, LLC | Hospice Care, Community Based | 6375 E Tanque Verde Rd., Suite 170, Tucson, AZ 85715 | 2010-08-04 |
| Find all providers in zip 85715 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031563 | Yun Bunch | Nurse Practitioner | 3220 W Ina Rd Apt 3102, Tucson, AZ 85741-2163 | 2020-07-31 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1497370258 | Summit Behavioral Health Pllc | Nurse Practitioner | 8230 E Broadway Blvd Ste E7, Tucson, AZ 85710-4002 | 2020-06-08 |
| 1811523210 | Phillip Allen Stensrud | Nurse Practitioner | 1416 E Linden St, Tucson, AZ 85719-3634 | 2020-03-17 |
| 1952948911 | Esteem Behavioral Healthcare LLC | Nurse Practitioner | 6650 N Oracle Rd Ste 110, Tucson, AZ 85704-5604 | 2019-12-09 |
| 1679115489 | Eric James Mccracken | Nurse Practitioner | 1230 South Cherrybell Stravanue, Tucson, AZ 85713 | 2019-10-14 |
| 1326583014 | Tucson Treatment Center, Inc | Nurse Practitioner | 10573 E Oakbrook St, Tucson, AZ 85747-5966 | 2017-01-04 |
| 1801266556 | Jennifer Budd | Nurse Practitioner | 2435 N. Castro Avenue, Tucson, AZ 85730 | 2015-10-06 |
| 1215303946 | Joy Kwakuyi | Nurse Practitioner | 4400 E Broadway Blvd Ste 411, Tucson, AZ 85711-3554 | 2015-08-17 |
| 1659776557 | Mahmoud Moghaddami | Nurse Practitioner | 1075 E Ft Lowell, Tucson, AZ 85749 | 2014-11-04 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.