Active NPI
Antonette Melrose, RN
- Registered Nurse
- League City, TX
National Provider Identifier
1861090920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 806003
- Practice address
- 3027 Marina Bay Dr Ste 344
League City, TX 77573-3089 - Phone
- (281) 968-2745
- NPI assigned
- Oct 12, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 806003 | TX | Primary |
Addresses
Primary practice location
3027 Marina Bay Dr Ste 344
League City, TX 77573-3089
Mailing address
319 E Sterling St
Baytown, TX 77520-5135
Phone (832) 414-9499
Other names 1
- Antonette Mapp
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 806003 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Childrens Homecare LP | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Home Health Agency
- Stafford, TX
- NPI 1487634739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1861090920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 E STERLING ST",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775205135",
"telephone_number": "832-414-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3027 MARINA BAY DR STE 344",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775733089",
"telephone_number": "281-968-2745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELROSE",
"first_name": "ANTONETTE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-12",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "806003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANTONETTE",
"last_name": "MAPP",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in League City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.