Individual provider Active NPI

Melissa Ana Alhezayen, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Denton, TX
National Provider Identifier
1376904607
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
132640 Issued in TX
Practice address
414 W Parkway St # 1018
Denton, TX 76201-9046
Phone
(888) 453-5332
Fax
(888) 453-5332
NPI assigned
Mar 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 132640 TX Primary
Gerontology Nurse Practitioner 363LG0600X AP132640 TX

Addresses

Primary practice location

414 W Parkway St # 1018
Denton, TX 76201-9046

Mailing address

414 W Parkway St # 1018
Denton, TX 76201-9046
Phone (888) 453-5332

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
I20170511002412 TX Practitioner - Nurse Practitioner 1153608591 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP132640TXMDGerontology Nurse Practitioner
132640TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jack County Hospital District CurrentSince Dec 1, 2024 Accepting new patients
Calm Mind Psychiatry PLLC Psychiatric/Mental Health CurrentSince Apr 13, 2024 Accepting new patients
Jack County Hospital District CurrentSince Dec 1, 2024 Accepting new patients
Denton Texas Health Management, PLLC CurrentSince Mar 25, 2023 Accepting new patients

Locations

115 E Bypass 287
Alvord, TX 76225
Phone (940) 427-2858

1501 N Elm St
Denton, TX 76201
Phone (940) 387-0019

414 W Parkway St
Denton, TX 76201
Phone (214) 995-0782

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

Interoperability endpoints

  • Direct secure messaging: melissa.alhezayen.1@11284.direct.athenahealth.com

Organizations & group practices 4

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": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1376904607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W PARKWAY ST # 1018",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762019046",
            "telephone_number": "888-453-5332",
            "fax_number": "888-453-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W PARKWAY ST # 1018",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762019046",
            "telephone_number": "888-453-5332",
            "fax_number": "888-453-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHEZAYEN",
        "first_name": "MELISSA",
        "middle_name": "ANA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "132640",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP132640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.