Active NPI
Melissa Godfrey Wood, APRN-CNP
- Acute Care Nurse Practitioner
- Hurst, TX
National Provider Identifier
1467060889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1003963
- Practice address
- 809 W Harwood Rd Ste 101
Hurst, TX 76054-3293 - Phone
- (972) 646-8346
- Fax
- (817) 532-5618
- NPI assigned
- Jul 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1003963 | TX | Primary |
Addresses
Primary practice location
809 W Harwood Rd Ste 101
Hurst, TX 76054-3293
Mailing address
3500 Oak Lawn Ave Ste 760
Dallas, TX 75219-4308
Phone (972) 646-8346
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1003963 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Segue Health of Texas PLLC | Current | Accepting new patients | |
| Legacy Physiatry Group LLC | Current | Accepting new patients | |
| Interventional Partners PLLC | Past | Accepting new patients |
Locations
850 Central Pkwy E
Ste 275
Plano, TX 75074
1419 Mahlmann St
Rosenberg, TX 77471
Phone (281) 342-0065
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Plano, TX
- NPI 1316078769
-
- Family Medicine Physician
- Azle, TX
- NPI 1215510763
-
dba Stride Healthcare
- Vascular & Interventional Radiology Physician
- Addison, TX
- NPI 1750814737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1467060889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 OAK LAWN AVE STE 760",
"city": "DALLAS",
"state": "TX",
"postal_code": "752194308",
"telephone_number": "972-646-8346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 W HARWOOD RD STE 101",
"city": "HURST",
"state": "TX",
"postal_code": "760543293",
"telephone_number": "972-646-8346",
"fax_number": "817-532-5618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "MELISSA",
"middle_name": "GODFREY",
"credential": "APRN-CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-22",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1003963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.