Individual provider Active NPI

Vibian Chebet Melly

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1780274514
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1021019 Issued in TX
Practice address
8144 Walnut Hill LN Ste 1350
Dallas, TX 75231-4335
Phone
(972) 598-0000
NPI assigned
Jan 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 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 1021019 TX Primary

Addresses

Primary practice location

8144 Walnut Hill LN Ste 1350
Dallas, TX 75231-4335

Mailing address

8144 Walnut Hill LN Ste 1350
Dallas, TX 75231-4335
Phone (972) 598-0000

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
I20210222001102 TX Practitioner - Nurse Practitioner 7719392901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: vmelly@mpptexas.directbygreenway.com

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1780274514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8144 WALNUT HILL LN STE 1350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314335",
            "telephone_number": "972-598-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8144 WALNUT HILL LN STE 1350",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314335",
            "telephone_number": "972-598-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLY",
        "first_name": "VIBIAN",
        "middle_name": "CHEBET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1021019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.