Active NPI
Melissa Cordell, FNP
- Family Nurse Practitioner
- Houston, TX
National Provider Identifier
1013122399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 626005
- Practice address
- 4340 Westheimer Rd Ste 250
Houston, TX 77027-4888 - Phone
- (713) 955-6560
- Fax
- (832) 649-4933
- NPI assigned
- May 11, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP112531 | TX | |
| Family Nurse Practitioner | 363LF0000X | 626005 | TX | Primary |
Addresses
Primary practice location
4340 Westheimer Rd Ste 250
Houston, TX 77027-4888
Mailing address
4718 Waring St
Houston, TX 77027-6220
Phone (713) 840-7670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 626005 | Other | TX | TX LICENSE FNP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 626005 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxie C Sprott II MD PA | Current | Accepting new patients |
Locations
2965 Harrison Ave
Ste 313
Beaumont, TX 77702
Phone (409) 838-4472
4340 Westheimer Rd
Ste 250
Houston, TX 77027
Phone (713) 955-6560
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JGBEDD/Endpoint/JGBEDD
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.
-
- Specialist
- Beaumont, TX
- NPI 1326134594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1013122399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4718 WARING ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770276220",
"telephone_number": "713-840-7670",
"fax_number": "713-529-8350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4340 WESTHEIMER RD STE 250",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770274888",
"telephone_number": "713-955-6560",
"fax_number": "832-649-4933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDELL",
"first_name": "MELISSA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP112531",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "626005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX LICENSE FNP",
"identifier": "626005",
"state": "TX"
}
],
"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 Apr 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.