Individual provider Active NPI

Elizabeth Abigail Melchionno, APRN

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1629857057
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1091691 Issued in TX
Practice address
5826 Esplanade Dr Ste 102
Corpus Christi, TX 78414-4198
Phone
(361) 500-2898
NPI assigned
Sep 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1091691 TX Primary

Addresses

Primary practice location

5826 Esplanade Dr Ste 102
Corpus Christi, TX 78414-4198

Mailing address

5826 Esplanade Dr Ste 102
Corpus Christi, TX 78414-4198
Phone (361) 500-2898

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
I20231128000000 TX Practitioner - Nurse Practitioner 4789032079 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1091691TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Better Weigh Center PLLC CurrentSince Oct 15, 2023 Accepting new patients

Locations

5826 Esplanade Dr
Ste 102
Corpus Christi, TX 78414
Phone (361) 287-6040

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": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1629857057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5826 ESPLANADE DR STE 102",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144198",
            "telephone_number": "361-500-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5826 ESPLANADE DR STE 102",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144198",
            "telephone_number": "361-500-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELCHIONNO",
        "first_name": "ELIZABETH",
        "middle_name": "ABIGAIL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1091691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.