Active NPI
Melodie Vann, FNP-C
- Family Nurse Practitioner
- Borger, TX
National Provider Identifier
1669950655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 899141
- Practice address
- Spur 119 North
Borger, TX 79007 - Phone
- (806) 275-1502
- Fax
- (806) 275-1932
- NPI assigned
- Aug 1, 2018
- Last updated
- Feb 20, 2020
- 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 | 899141 | TX | Primary |
Addresses
Primary practice location
Spur 119 North
Borger, TX 79007
Mailing address
PO Box 10
Panhandle, TX 79068-0010
Phone (806) 532-2273
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 899141 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panhandle Family Care LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/25616/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Family Care Clinic of Panhandle
- Rural Health Clinic/Center
- Panhandle, TX
- NPI 1003407834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1669950655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "PANHANDLE",
"state": "TX",
"postal_code": "790680010",
"telephone_number": "806-532-2273",
"fax_number": "806-532-2276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SPUR 119 NORTH",
"city": "BORGER",
"state": "TX",
"postal_code": "79007",
"telephone_number": "806-275-1502",
"fax_number": "806-275-1932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANN",
"first_name": "MELODIE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "899141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Borger, TX
- Cristina Swaggerty, M.A., CCC-SLP
- Texas Emergency Room Services PA
- Cheyenne Bailey Tracy, APRN, MSN, FNP-C
- Tyler D Tucker, PHARMD
- United Supermarkets LLC (United Pharmacy)
- W.H.Landers, Jr., M.D., PLLC
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-1516)
- Destiny Walesiak, COTA
- Wallace Mann MD PA
- Kami Ware, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.