Melissa E Fondren, PCNS, MSN

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

517792 Issued in TX

Practice address

710 Bedell
Del Rio, TX 78840-6072

Phone

(830) 719-3996

Fax

(830) 719-3996

NPI assigned

Jul 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609892041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 ARROYO DR",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788402633",
            "telephone_number": "830-719-3996",
            "fax_number": "830-719-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BEDELL",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788406072",
            "telephone_number": "830-719-3996",
            "fax_number": "830-719-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONDREN",
        "first_name": "MELISSA",
        "middle_name": "E",
        "credential": "PCNS, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "TX",
            "license": "517792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111487803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119880604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119880603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Renee Flores, D.C
• Sabrina Marie Flores, PT, DPT
• Terri Jo Flowers
• Ira Floyd, MD
• FMSC del Rio Operating Company LP
• Hugh Michael Freitas, MSN, APRN, FNP-C
• Fresenius Medical Care San Antonio, LLC
• Fresenius Medical Care San Antonio, LLC
• William David Fritsch, DDS
• Frontera Pediatrics PA

• Pediatric Clinical Nurse Specialist in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Pediatric Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.