PHYLLIS MELVIN R.N.,N.P.
NPI 1053520692
Nurse Practitioner in Pacifica, CA

Active since May 21, 2007
1520 MADEIRA DR, PACIFICA, CA 94044(650) 359-8745 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phyllis Melvin R.n.,n.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYLLIS MELVIN R.N.,N.P. (NPI 1053520692) is an individual nurse practitioner in Pacifica, California, licensed in California (171502) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1053520692
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePHYLLIS MELVINCredential: R.N.,N.P.
Location Address1520 MADEIRA DRPacifica, CA 94044-4333
Mailing Address1520 Madeira DrPacifica, CA 94044-4333 · (650) 359-8745
Sole ProprietorYes
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1053520692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 171502
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1520 MADEIRA DR, Pacifica, CA 94044

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1520 MADEIRA DR
PACIFICA, CA 94044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Melvin's NPI number?

The NPI number for Phyllis Melvin is 1053520692. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Phyllis Melvin located?

Phyllis Melvin practices at 1520 Madeira Dr, Pacifica, CA 94044. The listed phone number is (650) 359-8745.

What is Phyllis Melvin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Phyllis Melvin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.