Individual provider Active NPI

Melissa Ann Bordes, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1144904814
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1125834 Issued in TX
Practice address
942 Spello Cir
San Antonio, TX 78253-6290
Phone
(210) 748-8346
NPI assigned
Jun 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1125834 TX Primary

Addresses

Primary practice location

942 Spello Cir
San Antonio, TX 78253-6290

Mailing address

942 Spello Cir
San Antonio, TX 78253-6290
Phone (210) 748-8346

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507000247 TX Practitioner - Nurse Practitioner 8325488497 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Endocrinology and Diabetes Care PLLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

11212 State Highway 151
Ste 180
San Antonio, TX 78251
Phone (210) 521-7333

11212 State Highway 151
Ste 150
San Antonio, TX 78251
Phone (210) 233-1215

11130 Christus Hls
Ste 101
San Antonio, TX 78251
Phone (210) 352-5006

10818 Town Center Dr
Ste 101
San Antonio, TX 78251
Phone (210) 352-5006

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIGFCA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1144904814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 SPELLO CIR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536290",
            "telephone_number": "210-748-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 SPELLO CIR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536290",
            "telephone_number": "210-748-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDES",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1125834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.