Active NPI
Melissa A Weede, APN
- Acute Care Nurse Practitioner
- Wichita Falls, TX
National Provider Identifier
1568407260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 731280
- Practice address
- 912 Burnett St
Wichita Falls, TX 76301-3208 - Phone
- (940) 525-4410
- Fax
- (940) 525-4410
- NPI assigned
- Jun 17, 2006
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 731280 | TX | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 000772 | NV |
Addresses
Primary practice location
912 Burnett St
Wichita Falls, TX 76301-3208
Mailing address
PO Box 1541
Archer City, TX 76351-1541
Phone (940) 525-4410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100501773 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000772 | NV | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gomez Kozar McElreath Smith | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231804800000",
"number": "1568407260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1541",
"city": "ARCHER CITY",
"state": "TX",
"postal_code": "763511541",
"telephone_number": "940-525-4410",
"fax_number": "940-525-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 BURNETT ST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763013208",
"telephone_number": "940-525-4410",
"fax_number": "940-525-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEEDE",
"first_name": "MELISSA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2009-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "731280",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NV",
"license": "000772",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100501773",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.