Individual provider Active NPI

Melanie Joe

  • Licensed Vocational Nurse
  • Windcrest, TX
National Provider Identifier
1003421322
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
225453 Issued in TX
Practice address
5121 Crestway Rd Ste 200B
Windcrest, TX 78239-1975
Phone
(800) 805-6989
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 225453 TX Primary

Addresses

Primary practice location

5121 Crestway Rd Ste 200B
Windcrest, TX 78239-1975

Mailing address

5121 Crestway Rd Ste 200B
Windcrest, TX 78239-1975
Phone (800) 805-6989

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.crossroadstreatmentcenters.com/methadone-locations/texas/san-antonio/

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

State licenses

LicenseStateTypeSpecialty
225453TXMDLicensed Vocational Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1003421322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 CRESTWAY RD STE 200B",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782391975",
            "telephone_number": "800-805-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 CRESTWAY RD STE 200B",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782391975",
            "telephone_number": "800-805-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOE",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "225453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.crossroadstreatmentcenters.com/methadone-locations/texas/san-antonio/",
            "affiliation": "N",
            "address_1": "5121 Crestway Rd Ste 200B",
            "city": "Windcrest",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782391975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Windcrest, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.