Individual provider Active NPI

Melanie Dawn Coffee, AGACNP-BC

  • Critical Care Medicine Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1295493567
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
1060087 Issued in TX
Practice address
21214 Northwest Fwy
Cypress, TX 77429-2105
Phone
(832) 221-7596
NPI assigned
Dec 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1060087 TX
Acute Care Nurse Practitioner 363LA2100X 1060087 TX
Adult Health Nurse Practitioner 363LA2200X 1060087 TX
Gerontology Nurse Practitioner 363LG0600X 1060087 TX
Critical Care Medicine Nurse Practitioner 363LC0200X 1060087 TX Primary

Addresses

Primary practice location

21214 Northwest Fwy
Cypress, TX 77429-2105

Mailing address

13219 Dotson Rd Ste 210
Houston, TX 77070-4308
Phone (281) 955-0338

Other practice location 1

17322 Elverson Oaks Dr
Tomball, TX 77377-1189
Phone (832) 221-7596

Other practice location 2

1313 Hermann Dr
Houston, TX 77004-7005
Phone (713) 577-8500

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
I20220221001385 TX Practitioner - Nurse Practitioner 0143614941 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1060087TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensivist Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

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.

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1295493567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13219 DOTSON RD STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704308",
            "telephone_number": "281-955-0338",
            "fax_number": "281-469-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21214 NORTHWEST FWY",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292105",
            "telephone_number": "832-221-7596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17322 Elverson Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Tomball",
            "state": "TX",
            "postal_code": "773771189",
            "country_code": "US",
            "telephone_number": "832-221-7596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1313 Hermann Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770047005",
            "country_code": "US",
            "telephone_number": "713-577-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFEE",
        "first_name": "MELANIE",
        "middle_name": "DAWN",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1060087",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1060087",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1060087",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1060087",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "1060087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.