Active NPI
Melissa Dickinson, APRN
- Registered Nurse
- Tomball, TX
National Provider Identifier
1578941209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 706560
- Practice address
- 24230 Kuykendahl Rd Ste 310-216
Tomball, TX 77375 - Phone
- (832) 559-2273
- NPI assigned
- May 14, 2015
- Last updated
- Jun 27, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 706560 | TX | Primary |
Addresses
Primary practice location
24230 Kuykendahl Rd Ste 310-216
Tomball, TX 77375
Mailing address
24230 Kuykendahl Rd Ste 310-216
Tomball, TX 77375-5123
Phone (832) 559-2273
Other practice location 1
25351 Barmby Dr
Tomball, TX 77375-5639
Phone (910) 282-2582
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160215002507 | TX | Practitioner - Nurse Practitioner | 2365746120 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 706560 | TX | MD | Registered Nurse |
Interoperability endpoints
- melissa.dickson.1@16143.direct.athenahealth.com
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.
-
- Clinic/Center
- Tomball, TX
- NPI 1326568007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1578941209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24230 KUYKENDAHL RD STE 310-216",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773755123",
"telephone_number": "832-559-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24230 KUYKENDAHL RD STE 310-216",
"city": "TOMBALL",
"state": "TX",
"postal_code": "77375",
"telephone_number": "832-559-2273"
}
],
"practiceLocations": [
{
"address_1": "25351 Barmby Dr",
"address_purpose": "LOCATION",
"city": "Tomball",
"state": "TX",
"postal_code": "773755639",
"country_code": "US",
"telephone_number": "910-282-2582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKINSON",
"first_name": "MELISSA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-14",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "706560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tomball, TX
- Devin S Pettiet (Tomball Chiropractic Center)
- Diagnostic Associates of North Texas PLLC
- Diamond Hospice, LLC (Devotion Hospice)
- Erika Priscila Diaz, BT
- Dickinson Family Chiropractic, PLLC
- Pamela Kay Dimmick, MA, LCDC, LPC
- Hong-Hanh Thi Dinh, O.D.
- Kim-Hue Dinh, PHARMD
- Tu Cam Dinh, PHARMD
- Discovering Peaceful Minds Healthcare PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.