Individual provider Active NPI

Melody Minnick

  • Family Nurse Practitioner
  • Magnolia, TX
National Provider Identifier
1487138111
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138741 Issued in TX
Practice address
18550 N 6TH St
Magnolia, TX 77354-1791
Phone
(281) 252-8600
NPI assigned
Sep 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP138741 TX Primary

Addresses

Primary practice location

18550 N 6TH St
Magnolia, TX 77354-1791

Mailing address

18550 N 6TH St
Magnolia, TX 77354-1791
Phone (281) 252-8600

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
I20181112000990 TX Practitioner - Nurse Practitioner 1850645813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Diagnostic CenterGroup PAC ID 0749230993, 2 clinicians

Practice addresses (Care Compare)

13644 Breton Ridge St
Suite B
Houston, TX 77070-6087
Phone (281) 252-8600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP138741TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Diagnostic Center CurrentSince Oct 15, 2018 Accepting new patients

Locations

18220 Tomball Pkwy
Ste 230
Houston, TX 77070
Phone (281) 252-8600

13644 Breton Ridge St
Ste B
Houston, TX 77070
Phone (281) 252-8600

18550 N 6th St
Magnolia, TX 77354
Phone (281) 252-8600

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1487138111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18550 N 6TH ST",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773541791",
            "telephone_number": "281-252-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18550 N 6TH ST",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773541791",
            "telephone_number": "281-252-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNICK",
        "first_name": "MELODY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

Verify at the official NPI Registry.