Active NPI
Melissa Lee Haltom, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Baytown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP140453
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| Mohamed S Ahmed MD PA | Past | 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
- 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.
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
-
- Psychiatry Physician
- Baytown, TX
- NPI 1427270503
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.