Active NPI
Melinda Moffitt, PA-C
- Physician Assistant
- Irving, TX
National Provider Identifier
1801248976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.004640
- Practice address
- 3050 Regent Blvd
Suite 200
Irving, TX 75063-3196 - Phone
- (214) 689-8109
- Fax
- (877) 457-3988
- NPI assigned
- Jul 12, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.004640 | OH | Primary |
Addresses
Primary practice location
3050 Regent Blvd
Suite 200
Irving, TX 75063-3196
Mailing address
366 Crawford St
Fredericksburg, OH 44627-9224
Phone (234) 249-2367
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 |
|---|---|---|---|
| 50.004640 | OH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1801248976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 CRAWFORD ST",
"city": "FREDERICKSBURG",
"state": "OH",
"postal_code": "446279224",
"telephone_number": "234-249-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 REGENT BLVD",
"address_2": "SUITE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750633196",
"telephone_number": "214-689-8109",
"fax_number": "877-457-3988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOFFITT",
"first_name": "MELINDA",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-12",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.004640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.