Individual provider Active NPI

Melinda Erin Vanveldhuizen, DC, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1568599710
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140494 Issued in TX
Practice address
4001 McEwen Rd
Ste 100
Dallas, TX 75244-5021
Phone
(214) 952-3933
Fax
(972) 432-5139
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10538 TX
Family Nurse Practitioner 363LF0000X AP140494 TX Primary

Addresses

Primary practice location

4001 McEwen Rd
Ste 100
Dallas, TX 75244-5021

Mailing address

4001 McEwen Rd Ste 100
Dallas, TX 75244-5021
Phone (214) 295-9671

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080618000571 TX Practitioner - Family PracticePractitioner - Chiropractic 6406927789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10538TXMDChiropractor
AP140494TXMDFamily Nurse Practitioner

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, 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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1568599710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 MCEWEN RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445021",
            "telephone_number": "214-295-9671",
            "fax_number": "972-432-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 MCEWEN RD",
            "address_2": "STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445021",
            "telephone_number": "214-952-3933",
            "fax_number": "972-432-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVELDHUIZEN",
        "first_name": "MELINDA",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "DC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10538",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.