Active NPI
Meliana Amazan Tiphete, APRN, FNP
- Family Nurse Practitioner
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1016824
- Practice address
- 2131 S Mobberly Ave
Longview, TX 75602-3563 - Phone
- (903) 758-2610
- Fax
- (903) 758-7081
- NPI assigned
- Mar 11, 2022
- Last updated
- Feb 12, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1016824 | TX | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 1016824 | TX |
Addresses
Primary practice location
2131 S Mobberly Ave
Longview, TX 75602-3563
Mailing address
1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610
Other practice location 1
705 E Marshall Ave Ste 3000
Longview, TX 75601-5661
Phone (903) 758-2610
Other practice location 2
1711 S Henderson Blvd Ste 400
Kilgore, TX 75662-3592
Phone (903) 758-2610
Other practice location 3
1001 W Fairmont St
Longview, TX 75604-3511
Phone (903) 758-2610
Other practice location 4
802 Medical Cir Ste 100
Longview, TX 75605-5207
Phone (903) 758-2610
Other practice location 5
602 Titus St Ste 130
Gilmer, TX 75644-1780
Phone (903) 758-2610
Other practice location 6
1901 Mulberry Ave Ste A
MT Pleasant, TX 75455-2369
Phone (903) 758-2610
Other practice location 7
425 N Fredonia St
Longview, TX 75601-6464
Phone (903) 758-2610
Other practice location 8
201 E Loop 281
Longview, TX 75605-7911
Phone (903) 758-2610
Other practice location 9
1761 W Loop 281
Longview, TX 75604-2734
Phone (903) 758-2610
Other practice location 10
825 Medical Dr
Tyler, TX 75701-2143
Phone (903) 758-2610
Other practice location 11
2015 Mulberry Ave Ste 250
MT Pleasant, TX 75455-2927
Phone (903) 758-2610
Other practice location 12
1107 E Marshall Ave
Longview, TX 75601-5602
Phone (903) 758-2610
Other names 1
- Meliana Amazan
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2131 S Mobberly Ave
Longview, TX 75602-3563
Phone (903) 758-2610
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longview Wellness Center Inc | Current | Accepting new patients | |
| Longview Wellness Center Inc | Current | Accepting new patients | |
| Longview Wellness Center, Inc | Current | Accepting new patients | |
| Longview Wellness Center Inc | Past | Accepting new patients | |
| Longview Wellness Center, Inc. | Past | Accepting new patients | |
| Longview Wellness Center, Inc. | Past | Accepting new patients | |
| Associated Clinicians of East Texas | Past | Accepting new patients |
Locations
602 Titus St
Ste 130
Gilmer, TX 75644
1711 S Henderson Blvd
Ste 400
Kilgore, TX 75662
Phone (903) 984-1394
1001 W Fairmont St
Longview, TX 75604
1107 E Marshall Ave
Longview, TX 75601
Phone (903) 212-4763
1701 Pine Tree Rd
Longview, TX 75604
Phone (713) 292-3177
1761 W Loop 281
Longview, TX 75604
Phone (903) 297-1733
201 E Loop 281
Longview, TX 75605
2131 S Mobberly Ave
Longview, TX 75602
Phone (903) 315-5750
425 N Fredonia St
Longview, TX 75601
Phone (903) 234-1452
705 E Marshall Ave
Ste 3000
Longview, TX 75601
Phone (903) 230-2608
1901 Mulberry Ave
Ste A
Mt Pleasant, TX 75455
2015 Mulberry Ave
Ste 250
Mt Pleasant, TX 75455
Phone (903) 572-4095
825 Medical Dr
Tyler, TX 75701
Phone (903) 533-0733
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wellness Pointe
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1942269493
-
dba Wellness Pointe
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1255137659
-
dba Wellness Pointe
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1770358582
-
dba Diagnostic Clinic of Longview
- Internal Medicine Physician
- Longview, TX
- NPI 1932640349
-
dba Wellness Pointe
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1447910542
-
dba Northeast Texas Family Health - a Wellness Pointe clinic
- Federally Qualified Health Center (FQHC)
- Mount Pleasant, TX
- NPI 1710515630
-
dba Wellness Pointe
- Federally Qualified Health Center (FQHC)
- Gilmer, TX
- NPI 1790955847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1477201127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 E MARSHALL AVE",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015602",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 S MOBBERLY AVE",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756023563",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081"
}
],
"practiceLocations": [
{
"address_1": "705 E Marshall Ave Ste 3000",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015661",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1711 S Henderson Blvd Ste 400",
"address_purpose": "LOCATION",
"city": "Kilgore",
"state": "TX",
"postal_code": "756623592",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 W Fairmont St",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756043511",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "802 Medical Cir Ste 100",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756055207",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "602 Titus St Ste 130",
"address_purpose": "LOCATION",
"city": "Gilmer",
"state": "TX",
"postal_code": "756441780",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1901 Mulberry Ave Ste A",
"address_purpose": "LOCATION",
"city": "MT Pleasant",
"state": "TX",
"postal_code": "754552369",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "425 N Fredonia St",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756016464",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 E Loop 281",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756057911",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1761 W Loop 281",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756042734",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "825 Medical Dr",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012143",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2015 Mulberry Ave Ste 250",
"address_purpose": "LOCATION",
"city": "MT Pleasant",
"state": "TX",
"postal_code": "754552927",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1107 E Marshall Ave",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015602",
"country_code": "US",
"telephone_number": "903-758-2610",
"fax_number": "903-758-7081",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIPHETE",
"first_name": "MELIANA",
"middle_name": "AMAZAN",
"credential": "APRN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-11",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1016824",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "TX",
"license": "1016824",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELIANA",
"last_name": "AMAZAN",
"credential": "APRN, FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.