Individual provider Active NPI

Meliana Amazan Tiphete, APRN, FNP

  • Family Nurse Practitioner
  • Longview, TX
National Provider Identifier
1477201127
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1016824 Issued in TX
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20240208000857 TX Practitioner - Nurse Practitioner 9436592276 Reassigns benefits to 1 organization

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
Longview Wellness Center IncGroup PAC ID 1254367766, 22 clinicians

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

OrganizationSpecialtyStatusNew patients
Longview Wellness Center Inc CurrentSince Feb 12, 2024 Accepting new patients
Longview Wellness Center Inc CurrentSince Feb 12, 2024 Accepting new patients
Longview Wellness Center, Inc Current Accepting new patients
Longview Wellness Center Inc PastSince Jan 2, 2022 Accepting new patients
Longview Wellness Center, Inc. PastSince Apr 1, 2020 Accepting new patients
Longview Wellness Center, Inc. PastSince Nov 18, 2025 Accepting new patients
Associated Clinicians of East Texas PastSince Sep 1, 2017 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.

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

Verify at the official NPI Registry.