Individual provider Active NPI

Melanie Sarah Alvarado, MSN, ANP-BC, GNP-BC

  • Gerontology Nurse Practitioner
  • Ennis, TX
National Provider Identifier
1649523325
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
754657 Issued in TX
Practice address
717 W Lampasas St
Ennis, TX 75119-4533
Phone
(972) 875-6790
NPI assigned
Oct 18, 2012
Last updated
Apr 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 754657 TX
Gerontology Nurse Practitioner 363LG0600X 754657 TX Primary

Addresses

Primary practice location

717 W Lampasas St
Ennis, TX 75119-4533

Mailing address

717 W Lampasas St
Ennis, TX 75119-4533
Phone (972) 875-6790

Other names 1

  • Melanie Sarah Tausch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
754657TXMDGerontology Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: melanie.alvarado.1@22461.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1649523325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194533",
            "telephone_number": "972-875-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751194533",
            "telephone_number": "972-875-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "MELANIE",
        "middle_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "MSN, ANP-BC, GNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "754657",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "754657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "TAUSCH",
            "middle_name": "SARAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ennis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.