Active NPI
Melissa Tice, A.T.C. , L.A.T.
- Student in an Organized Health Care Education/Training Program
- Lewisville, TX
National Provider Identifier
1700235124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- AT5006
- Practice address
- 1098 W Main St
Lewisville, TX 75067-3518 - Phone
- (469) 446-0381
- NPI assigned
- Jun 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | AT5006 | TX | Primary |
Addresses
Primary practice location
1098 W Main St
Lewisville, TX 75067-3518
Mailing address
401 N Old Orchard LN
Apt 231
Lewisville, TX 75067-3649
Phone (682) 472-7907
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT5006 | TX | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1700235124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N OLD ORCHARD LN",
"address_2": "APT 231",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750673649",
"telephone_number": "682-472-7907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1098 W MAIN ST",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750673518",
"telephone_number": "469-446-0381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TICE",
"first_name": "MELISSA",
"name_prefix": "Miss",
"credential": "A.T.C. , L.A.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "AT5006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.