MS. MELISSA SUSAN BOOTHROYD PNP
NPI 1649356551
Nurse Practitioner - Pediatrics in Warren, MI

Active since October 31, 2006
23200 RYAN RD, FITZGERALD HEALTH CENTER, WARREN, MI 48091(586) 759-9070 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Melissa Susan Boothroyd Pnp NPPES

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

MS. MELISSA SUSAN BOOTHROYD PNP (NPI 1649356551) is an individual pediatrics provider in Warren, Michigan, licensed in Michigan (4704121618) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1649356551
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. MELISSA SUSAN BOOTHROYDCredential: PNP
Location Address23200 RYAN RD, FITZGERALD HEALTH CENTERWarren, MI 48091-4551
Mailing Address29085 Oak Point DrFarmington Hills, MI 48331-2715 · (248) 489-8632
Sole ProprietorYes
Enumeration DateOctober 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1649356551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MI · 4704121618
23200 RYAN RD, Warren, MI 48091

Other Identifiers 1

Medicaid4667898MI

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
23200 RYAN RD
WARREN, MI 48091
Social Worker (Clinical)
23200 RYAN RD
WARREN, MI 48091

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 Melissa Boothroyd's NPI number?

The NPI number for Melissa Boothroyd is 1649356551. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Melissa Boothroyd located?

Melissa Boothroyd practices at 23200 Ryan Rd Fitzgerald Health Center, Warren, MI 48091. The listed phone number is (586) 759-9070.

What is Melissa Boothroyd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Melissa Boothroyd was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.