Active NPI
Melissa Dianna Cuba, PA-C
- Physician Assistant
- Wichita Falls, TX
National Provider Identifier
1336483288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 208000000X
- Practice address
- 501 Midwestern Pkwy E
Wichita Falls, TX 76302-2302 - Phone
- (940) 397-5437
- NPI assigned
- Nov 15, 2012
- Last updated
- Nov 16, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 208000000X | TX | Primary |
Addresses
Primary practice location
501 Midwestern Pkwy E
Wichita Falls, TX 76302-2302
Mailing address
501 Midwestern Pkwy E
Wichita Falls, TX 76302-2302
Phone (940) 397-5437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208000000X | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1336483288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MIDWESTERN PKWY E",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763022302",
"telephone_number": "940-397-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MIDWESTERN PKWY E",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763022302",
"telephone_number": "940-397-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUBA",
"first_name": "MELISSA",
"middle_name": "DIANNA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "208000000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.