Individual provider Active NPI

Melissa D Holland, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1215340831
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP125637 Issued in TX
Practice address
4373 S Hampton Rd
Dallas, TX 75232-1058
Phone
(214) 339-9359
Fax
(214) 339-7326
NPI assigned
Jun 11, 2014
Last updated
Dec 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP125637 TX Primary

Addresses

Primary practice location

4373 S Hampton Rd
Dallas, TX 75232-1058

Mailing address

850 Central Pkwy E
Ste 275
Plano, TX 75074-5542
Phone (214) 339-9359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Progressive Medicine of Burleson PA CurrentSince Jun 23, 2020 Accepting new patients
Advanced Medical of North Texas PLLC CurrentSince Dec 4, 2020 Accepting new patients

Locations

1320 NW John Jones Dr
Burleson, TX 76028
Phone (817) 295-6176

5500 North Tarrant Pkwy
Ste 108
Fort Worth, TX 76244
Phone (817) 605-9500

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1215340831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 CENTRAL PKWY E",
            "address_2": "STE 275",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745542",
            "telephone_number": "214-339-9359",
            "fax_number": "214-339-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4373 S HAMPTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321058",
            "telephone_number": "214-339-9359",
            "fax_number": "214-339-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "MELISSA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP125637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.