Melissa Ann Botard, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP145583 Issued in TX

Practice address

2118 Dublin Dr
League City, TX 77573-4963

Phone

(281) 723-0163

NPI assigned

Jul 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1346859444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 DUBLIN DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734963",
            "telephone_number": "281-723-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 DUBLIN DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734963",
            "telephone_number": "281-723-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTARD",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Boniface
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• Kai Borgstrom, D.C., C.C.S.P.
• Krislyn Boswell
• Gideon Petrus Botha, LPC, LMFT
• Marion B Bourgeois, LMT
• Jessica Erin Bourque, DC
• Kendra Eve Bowie, LPC
• Daisy Bowler

• Family Nurse Practitioner in League City, TX
• Providers in League City, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.