MELISSA MORTENSEN (NPI# 1841563913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841563913 |
| Entity Type | Individual |
| Full Name | MELISSA MORTENSEN |
| Practice Address |
1334 E Chandler Blvd Ste 5 Phoenix AZ 85048-6268 |
| Practice Telephone | 4805181535 |
| Practice Fax Number | 4806295443 |
| Mailing Telephone | 4805181535 |
| Mailing Fax Number | 4806295443 |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2012-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA7621 | AZ | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871816892 | Melissa Ann Mortensen | Occupational Therapist | 1050 Delaware Ave, Marion, OH 43302-6416 | 2010-03-04 |
| 1780777102 | Melissa Mortensen | Dietitian, Registered | 4800 Sand Point Way Ne, Ms 3726, Seattle, WA 98105-3901 | 2006-09-30 |
| 1972500635 | Melissa Ann Mortensen | Physical Therapist | 100 2nd St S, Sartell, MN 56377-1977 | 2005-07-07 |
| Street Address |
1334 E CHANDLER BLVD STE 5 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85048-6268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659666758 | Ashley Charis Reynolds | Specialist/Technologist | 1334 E Chandler Blvd Ste 5, Phoenix, AZ 85048-6268 | 2011-06-16 |
| 1932681962 | Jordan Ilana Wakser | Specialist/Technologist | 1334 E Chandler Blvd Ste 5, Phoenix, AZ 85048-6268 | 2018-09-06 |
| 1154761997 | Samantha Lillian Stewart | Specialist/Technologist | 1334 E Chandler Blvd Ste 5, Phoenix, AZ 85048-6268 | 2013-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062618 | Smile Dentistry Pllc | Dentist | 1238 E. Chandler Blvd. #101, Phoenix, AZ 85048 | 2020-01-13 |
| 1558924415 | Ahwatukee Orthodontic Associates Inc | Dentist | 16611 S. 40th Street, Suite 110, Phoenix, AZ 85048 | 2019-04-17 |
| 1699299560 | Brianna Alean Kinsey | Student in an Organized Health Care Education/Training Program | 16214 S. 1st Street, Phoenix, AZ 85048 | 2017-08-01 |
| 1497278113 | Teague Duncan Wilson | Specialist/Technologist | 3305 E Nighthawk Way, Phoenix, AZ 85048 | 2017-07-25 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1235551904 | Louise Marie Braunbeck | Physical Therapy Assistant | 16649 S 24th Place, Phoenix, AZ 85048 | 2014-01-14 |
| 1780026260 | Erin Onacki | Social Worker | 4530 E Muirwood Dr. Suite 103, Phoenix, AZ 85048 | 2013-07-24 |
| 1649528720 | Cody A Morales | Social Worker | 4654 E Mountain Vista Dr, Phoenix, AZ 85048 | 2012-08-21 |
| 1417168287 | Lori Lynn Haas | Social Worker | 4025 E. Chandler Boulevard, #70-e7, Phoenix, AZ 85048 | 2007-05-24 |
| 1285847210 | Jonne Amorette Housh | Nurse Practitioner | 4545 E Chandler Blvd., Phoenix, AZ 85048 | 2007-05-07 |
| Find all providers in zip 85048 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951743 | Marlen Eilyn Murillo | Specialist/Technologist | 9150 W Indian School Rd # 150, Phoenix, AZ 85037-2384 | 2020-07-31 |
| 1619585411 | Risa Fly | Specialist/Technologist | 3700 N 24th St Ste 130, Phoenix, AZ 85016-6535 | 2020-07-17 |
| 1750916755 | Jessika Beltran Salazar | Specialist/Technologist | 7120 W Pioneer St, Phoenix, AZ 85043-7289 | 2020-03-10 |
| 1700419439 | Brandy Danielle Levy | Specialist/Technologist | 18242 N 5th Pl, Phoenix, AZ 85022-1012 | 2020-02-21 |
| 1639700115 | Sadie Merrill | Specialist/Technologist | 15201 N Central Ave, Phoenix, AZ 85022-3641 | 2020-02-03 |
| 1093346983 | Theresa Joan Trollinger | Specialist/Technologist | 16220 N 7th St Apt 3030, Phoenix, AZ 85022-6662 | 2020-01-29 |
| 1801436720 | Jordan Leigh Sonneborn | Specialist/Technologist | 1616 N Central Ave Apt 2459, Phoenix, AZ 85004-1670 | 2020-01-08 |
| 1790320141 | Anah Navarro | Specialist/Technologist | 5208 S 40th Pl, Phoenix, AZ 85040-3909 | 2019-11-08 |
| 1700427614 | Rosa Dalila Paz | Specialist/Technologist | 6454 W Blue Sky Dr, Phoenix, AZ 85083-7554 | 2019-10-02 |
| 1063060739 | Alondra Mata Bustillos | Specialist/Technologist | 3408 W Altadena Ave, Phoenix, AZ 85029-3228 | 2019-08-27 |
| 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.