MS. MELISSA IVY SHERIDAN (NPI# 1659310530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659310530 |
| Entity Type | Individual |
| Full Name | MS. MELISSA IVY SHERIDAN |
| Other Name | MRS. MELISSA IVY KRYANINKO |
| Credential | ARNP |
| Practice Address |
750 E Thunderbird Rd Suite 3 Phoenix AZ 85022-5306 |
| Mailing Address |
2500 W Utopia Rd Suite 100 Phoenix AZ 85027-4171 |
| Practice Telephone | 6026746220 |
| Practice Fax Number | 6029782198 |
| Mailing Telephone | 6234346200 |
| Mailing Fax Number | 6234346164 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2016-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP8695 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 307119700 | 05 |
| Street Address |
750 E THUNDERBIRD RD SUITE 3 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85022-5306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962954610 | Donna Simon | Dietitian, Registered | 750 E Thunderbird Rd, Suite 3, Phoenix, AZ 85022 | 2016-10-28 |
| 1487003919 | Honorhealth Medical Group, LLC | Family Medicine | 750 E Thunderbird Rd, Suite 3, Phoenix, AZ 85022-5306 | 2016-06-06 |
| 1437523404 | Caremore Health Plan | Nurse Practitioner | 750 E Thunderbird Rd, Phoenix, AZ 85022-5306 | 2015-11-13 |
| 1396085775 | Diane Neville Much | Dietitian, Registered | 750 E Thunderbird Rd, Phoenix, AZ 85022-5306 | 2013-02-22 |
| 1417203076 | Cara Esther Glenn | Dietitian, Registered | 750 E Thunderbird Rd, Phoenix, AZ 85022-5306 | 2012-07-31 |
| 1932401429 | Gerald Marshall | General Practice | 750 E Thunderbird Rd, Phoenix, AZ 85022-5306 | 2010-12-03 |
| 1134433097 | James J Dearing, D.o., P.C. | Family Medicine | 750 E Thunderbird Rd, Suite 1, Phoenix, AZ 85022-5306 | 2010-08-03 |
| 1356673636 | Mona A Holubar | Physical Therapist | 750 E Thunderbird Rd, Suite 1, Phoenix, AZ 85022-5306 | 2010-02-11 |
| 1558542761 | Jill Margaret Leblanc | Nurse Practitioner | 750 E Thunderbird Rd, Phoenix, AZ 85022-5306 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626074 | Keauna Olugu | Psychologist | 17249 N. 7th St, 1128, Phoenix, AZ 85022 | 2019-05-30 |
| 1215455498 | Kristi Etchechury | Occupational Therapy Assistant | 807 East Beck Lane, Phoenix, AZ 85022 | 2017-09-07 |
| 1871017103 | Julie Dale | Physical Therapist | 1910 E Kathleen Rd, Phoenix, AZ 85022 | 2017-07-28 |
| 1669994539 | Valley Wellness Center Pllc | Clinic/Center | 702 E Bell Rd Ste 112, Phoenix, AZ 85022 | 2017-07-12 |
| 1386001758 | Debbie Mulder | Behavioral Analyst | 2400 West Dunlap Ave., Suite 100, Glendale, AZ 85022 | 2016-01-15 |
| 1114383437 | Jean Fay King | Nurse Practitioner | 15409 N. 23rd St., Phoenix, AZ 85022 | 2016-01-04 |
| 1093050767 | Cheyanne Wilderness Gastelum | Midwife | 2236 E. Delgado St., Phoenix, AZ 85022 | 2012-12-06 |
| 1760731236 | Nicole Ann Raus | Occupational Therapy Assistant | 15414 N. 7th Street, Suite 3, Phoenix, AZ 85022 | 2012-08-30 |
| 1144593211 | Edward Najeeb Abraham | Family Medicine | 14419 N. 5th Place, Phoenix, AZ 85022 | 2012-02-20 |
| 1942506019 | Mirnes Mehic | Assisted Living Facility | 2018 E. Wagoner Rd., Phoenix, AZ 85022 | 2011-02-07 |
| Find all providers in zip 85022 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1932712825 | Grace Wanjiru Karanja Adams | Nurse Practitioner | 200 E Thomas Rd Unit 217, Phoenix, AZ 85012-1182 | 2020-08-28 |
| 1649895574 | Jozzette Elaine Rubio | Nurse Practitioner | 1924 E Vineyard Rd, Phoenix, AZ 85042-5793 | 2020-06-16 |
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1568087955 | Christa Ann Colvin | Nurse Practitioner | 6800 E Mayo Blvd Apt 1211, Phoenix, AZ 85054-5619 | 2020-06-10 |
| 1497378541 | Sharon Uchechi Joshua | Nurse Practitioner | 9117 W Virginia Ave, Phoenix, AZ 85037-4233 | 2020-05-23 |
| 1992326102 | Ashley Elizabeth Hall | Nurse Practitioner | 15810 N 18th St, Phoenix, AZ 85022-3302 | 2020-04-28 |
| 1750916797 | Sebastian Freeman Smith | Nurse Practitioner | 2716 W Cedarwood Ln, Phoenix, AZ 85045-2224 | 2020-03-10 |
| 1295365724 | Jessica Veasy | Nurse Practitioner | 7251 N 23rd Ave, Phoenix, AZ 85021-7714 | 2020-01-23 |
| 1568092526 | Anuradha Lingamneni | Nurse Practitioner | 2313 E Dry Wood Rd, Phoenix, AZ 85024-8688 | 2020-01-18 |
| Find all providers in PHOENIX | ||||
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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.