Individual provider Active NPI

Melissa Cordell, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1013122399
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
626005 Issued in TX
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

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
626005OtherTXTX 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191125000737 TX Practitioner - Nurse Practitioner 7618309097 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
626005TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maxie C Sprott II MD PA CurrentSince Jul 30, 2019 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.