Melinda L. Anderson, RN, BSN

Individual provider Active NPI Registered Nurse · Sherman, TX

NPI 1104159052 · NPPES record last updated Sep 10, 2009

Key facts

NPI
1104159052
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
661972 (TX)
Practice address
600 Clay LN
Sherman, TX 75092-5416
Phone
(903) 815-5245
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
661972TXMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 661972 TX Yes
Home Health Registered Nurse 163WH0200X 661972 TX
Hospice Registered Nurse 163WH1000X 661972 TX

Addresses

Primary practice location

600 Clay LN
Sherman, TX 75092-5416

Mailing address

600 Clay LN
Sherman, TX 75092-5416
Phone (903) 815-5245

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 10, 2009.

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1104159052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CLAY LN",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750925416",
            "telephone_number": "903-815-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CLAY LN",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750925416",
            "telephone_number": "903-815-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MELINDA",
        "middle_name": "L.",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "661972",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "661972",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "TX",
            "license": "661972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

All providers in Sherman, TX · Registered Nurse in Texas

Sources for this page

Verify at the official NPI Registry.