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
| License | State | Type | Specialty |
|---|---|---|---|
| 661972 | TX | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.