Individual provider Active NPI

Melissa Dickinson, APRN

  • Registered Nurse
  • Tomball, TX
National Provider Identifier
1578941209
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
706560 Issued in TX
Practice address
24230 Kuykendahl Rd Ste 310-216
Tomball, TX 77375
Phone
(832) 559-2273
NPI assigned
May 14, 2015
Last updated
Jun 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160215002507 TX Practitioner - Nurse Practitioner 2365746120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
706560TXMDRegistered Nurse

Interoperability endpoints

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.