Individual provider Active NPI

Melissa Mae Rubio, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1639337298
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
826045 Issued in TX
Practice address
7120 McCart Ave
Fort Worth, TX 76133-7298
Phone
(817) 294-5624
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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 826045 TX Primary

Addresses

Primary practice location

7120 McCart Ave
Fort Worth, TX 76133-7298

Mailing address

7120 McCart Ave
Fort Worth, TX 76133-7298
Phone (817) 294-5624

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
I20120927000317 TX Practitioner - Nurse Practitioner 1557524386 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
826045TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theresa D. Stretch MD, PA CurrentSince Mar 24, 2015 Accepting new patients
County of Milwaukee Family Past Accepting new patients
Ralph a Brooks, M.D. LLC Past Accepting new patients

Locations

1806 W Pleasant Ridge Rd
Arlington, TX 76015
Phone (817) 635-6363

Organizations & group practices 3

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1639337298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 MCCART AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337298",
            "telephone_number": "817-294-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 MCCART AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337298",
            "telephone_number": "817-294-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "MELISSA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "826045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.