Individual provider Active NPI

Melissa Lynn Hinostroza, PA

  • Physician Assistant
  • Corpus Christi, TX
National Provider Identifier
1043444169
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05107 Issued in TX
Practice address
3845 S Padre Island Dr
Corpus Christi, TX 78415-2919
Phone
(361) 854-4626
Fax
(361) 851-5193
NPI assigned
May 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05107 TX Primary

Addresses

Primary practice location

3845 S Padre Island Dr
Corpus Christi, TX 78415-2919

Mailing address

301 S San Patricio St
Sinton, TX 78387-2432
Phone (361) 364-3355

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)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rediclinic Austin, LLC CurrentSince Jan 12, 2016 Accepting new patients
Modern Pediatrics Professionals, PLLC PastSince Feb 9, 2020 Accepting new patients
South Padre Island Pediatric Clinic PA Past Accepting new patients
South Padre Island Pediatric Center Past Accepting new patients

Locations

500 Canyon Ridge Dr
Austin, TX 78753
Phone (512) 836-9000

170 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 259-5755

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241395200000",
    "number": "1043444169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S SAN PATRICIO ST",
            "city": "SINTON",
            "state": "TX",
            "postal_code": "783872432",
            "telephone_number": "361-364-3355",
            "fax_number": "361-851-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784152919",
            "telephone_number": "361-854-4626",
            "fax_number": "361-851-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINOSTROZA",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.