Individual provider Active NPI

Melissa Lee Haltom, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Baytown, TX
National Provider Identifier
1639635196
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140453 Issued in TX
Practice address
1300 Rollingbrook Dr Ste 508
Baytown, TX 77521-3863
Phone
(281) 837-6463
Fax
(281) 837-0600
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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 AP140453 TX Primary

Addresses

Primary practice location

1300 Rollingbrook Dr Ste 508
Baytown, TX 77521-3863

Mailing address

1300 Rollingbrook Dr Ste 508
Baytown, TX 77521-3863
Phone (281) 837-6463

Other practice location 1

5330C Fm 1960 Rd E
Humble, TX 77346-2502
Phone (832) 390-4579

Other practice location 2

19701 Kingwood Dr Bldg 5
Kingwood, TX 77339-3773
Phone (281) 319-4111

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
I20230726002914 TX Practitioner - Nurse Practitioner 4486015211 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Jan 8, 2024 Accepting new patients
TMH Physician Associates PLLC CurrentSince Jan 8, 2024 Accepting new patients
Mohamed S Ahmed MD PA PastSince Aug 29, 2021 Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: mhaltom537251@directhoustonmethodist.org

Organizations & group practices 4

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": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1639635196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ROLLINGBROOK DR STE 508",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213863",
            "telephone_number": "281-837-6463",
            "fax_number": "281-837-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ROLLINGBROOK DR STE 508",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213863",
            "telephone_number": "281-837-6463",
            "fax_number": "281-837-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5330C Fm 1960 Rd E",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773462502",
            "country_code": "US",
            "telephone_number": "832-390-4579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19701 Kingwood Dr Bldg 5",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773393773",
            "country_code": "US",
            "telephone_number": "281-319-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALTOM",
        "first_name": "MELISSA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.