Individual provider Active NPI

Melinda Chavez, FNP

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1053377531
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP111923 Issued in TX
Practice address
4321 Marsha Sharp Freeway
Door #1
Lubbock, TX 79407-2504
Phone
(806) 797-2139
Fax
(806) 797-3105
NPI assigned
Apr 25, 2006
Last updated
Aug 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 620800 TX
Family Nurse Practitioner 363LF0000X 620800 TX
Family Nurse Practitioner 363LF0000X AP111923 TX Primary

Addresses

Primary practice location

4321 Marsha Sharp Freeway
Door #1
Lubbock, TX 79407-2504

Mailing address

4321 Marsha Sharp Freeway
Door #1
Lubbock, TX 79407-2504
Phone (806) 797-2139

Other identifiers 1

IdentifierTypeStateIssuer
177135401MedicaidTX

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
620800TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ralls NH Operations LTD Past Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melinda.chavez@direct.myteamcare.com

Organizations & group practices 2

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1053377531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 MARSHA SHARP FREEWAY",
            "address_2": "DOOR #1",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072504",
            "telephone_number": "806-797-2139",
            "fax_number": "806-797-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 MARSHA SHARP FREEWAY",
            "address_2": "DOOR #1",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072504",
            "telephone_number": "806-797-2139",
            "fax_number": "806-797-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "MELINDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "620800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "620800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP111923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177135401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.