Active NPI
Melissa Henry, MD
- Emergency Medicine Physician
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- L0258
- Practice address
- 7509 Marsha Sharp Fwy
Lubbock, TX 79407-8202 - Phone
- (806) 744-7223
- Fax
- (806) 740-3325
- NPI assigned
- Jun 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L0258 | TX | |
| Emergency Medicine Physician | 207P00000X | L0258 | TX | Primary |
Addresses
Primary practice location
7509 Marsha Sharp Fwy
Lubbock, TX 79407-8202
Mailing address
4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Phone (806) 744-7223
Other practice location 1
4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Phone (806) 744-7223
Other practice location 2
4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Phone (806) 744-7223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102873012 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mhenry1379946@oc.providencedirect.org |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L0258 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ess of South Texas LLC | Emergency Medicine | Current | Accepting new patients |
| Altus Exceptional Physician Group PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100
1535 West Loop S
Ste 450
Houston, TX 77027
Phone (832) 219-3833
1535 West Loop S
Ste 300
Houston, TX 77027
Phone (713) 961-0423
1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316
Interoperability endpoints
- mhenry1379946@oc.providencedirect.org
- mhenry@yourcarecommunity.org
- melissa.henry@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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Orange, TX
- NPI 1730869207
-
- Emergency Medicine Physician
- Liberty, TX
- NPI 1295128247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1124023718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 MARSHA SHARP FWY",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794072520",
"telephone_number": "806-744-7223",
"fax_number": "806-740-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7509 MARSHA SHARP FWY",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794078202",
"telephone_number": "806-744-7223",
"fax_number": "806-740-3325"
}
],
"practiceLocations": [
{
"address_1": "4515 Marsha Sharp Fwy",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794072520",
"country_code": "US",
"telephone_number": "806-744-7223",
"fax_number": "806-740-3325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4515 Marsha Sharp Fwy",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794072520",
"country_code": "US",
"telephone_number": "806-744-7223",
"fax_number": "806-740-3325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENRY",
"first_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-20",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L0258",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "L0258",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102873012",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mhenry1379946@oc.providencedirect.org",
"affiliation": "N",
"address_1": "2412 50th St",
"city": "Lubbock",
"state": "TX",
"country_code": "US",
"postal_code": "794122504",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.