MELISSA CARYN LOPEZ NP NPI 1497397707

NPI Information

  • NPI: 1497397707
  • Provider Name: MELISSA CARYN LOPEZ, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 700 MYRTLE WAY
    JANESVILLE, WI
    ZIP 53545
  • Phone: (815) 608-4673

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NPI Details

Melissa Caryn Lopez, NP is a family nurse practitioner in Janesville, WI with 6 years of experience. Melissa Caryn Lopez, NP NPI is 1497397707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

700 MYRTLE WAY
JANESVILLE, WI
ZIP 53545-111
Phone: (815) 608-4673

The NPI 1497397707 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/9/2019 and was last updated on 9/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily041355297ILLINOISNo
2363LF0000XNurse PractitionerFamily1060933WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11235125717OTHERILLINOISGRP NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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