Active NPI
Melodie Irvin, PA
- Physician Assistant
- Houston, TX
National Provider Identifier
1003277310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00855
- Practice address
- 7474 S Kirkwood Rd
Suite 206
Houston, TX 77072-3307 - Phone
- (281) 564-5500
- Fax
- (281) 564-5502
- NPI assigned
- Mar 14, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00855 | TX | Primary |
Addresses
Primary practice location
7474 S Kirkwood Rd
Suite 206
Houston, TX 77072-3307
Mailing address
7474 S Kirkwood Rd
Suite 206
Houston, TX 77072-3307
Phone (281) 564-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00855 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Today'S Medical PLLC | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physician Assistant
- Houston, TX
- NPI 1487858148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457913600000",
"number": "1003277310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7474 S KIRKWOOD RD",
"address_2": "SUITE 206",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770723307",
"telephone_number": "281-564-5500",
"fax_number": "281-564-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7474 S KIRKWOOD RD",
"address_2": "SUITE 206",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770723307",
"telephone_number": "281-564-5500",
"fax_number": "281-564-5502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVIN",
"first_name": "MELODIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-14",
"last_updated": "2016-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA00855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.