Individual provider Active NPI

Melissa Spadone

  • Pediatric Nurse Practitioner
  • Houston, TX
National Provider Identifier
1437569357
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP129629 Issued in TX
Practice address
5215 Jensen Dr
Houston, TX 77026-2514
Phone
(832) 548-5000
NPI assigned
Apr 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X SP013759 PA
Pediatric Nurse Practitioner 363LP0200X AP129629 TX Primary

Addresses

Primary practice location

5215 Jensen Dr
Houston, TX 77026-2514

Mailing address

5215 Jensen Dr
Houston, TX 77026-2514
Phone (832) 548-5000

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
I20220505001849 TX Practitioner - Nurse Practitioner 0446476832 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP013759PAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Feb 28, 2022 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Feb 28, 2022 Accepting new patients

Locations

1415 California St
Houston, TX 77006
Phone (713) 665-8800

5515 South Loop E
#B
Houston, TX 77033

5400 Martin Luther King Blvd
Houston, TX 77021
Phone (210) 445-9952

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

5215 Jensen Dr
Houston, TX 77026

13940 Bonham St
Houston, TX 77015
Phone (713) 330-8904

5620 W Tidwell Rd
Houston, TX 77091
Phone (713) 812-0283

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": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1437569357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 JENSEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770262514",
            "telephone_number": "832-548-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 JENSEN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770262514",
            "telephone_number": "832-548-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADONE",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP013759",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP129629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.