Individual provider Active NPI

Jacqueline Melgar, FNP

  • Family Nurse Practitioner
  • Cleburne, TX
National Provider Identifier
1871191775
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1015643 Issued in TX
Practice address
895 N Nolan River Rd Ste 102
Cleburne, TX 76033-1250
Phone
(817) 556-9700
Fax
(817) 556-9702
NPI assigned
Oct 13, 2020
Last updated
Oct 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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 1015643 TX Primary

Addresses

Primary practice location

895 N Nolan River Rd Ste 102
Cleburne, TX 76033-1250

Mailing address

9005 Elbe TRL
Fort Worth, TX 76118-7370
Phone (682) 553-3598

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

LicenseStateTypeSpecialty
1015643TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alazar Medical Group, PLLC CurrentSince Oct 19, 2020 Accepting new patients

Locations

895 N Nolan River Rd
Ste 102
Cleburne, TX 76033
Phone (817) 556-9700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAEJCA

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.

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1871191775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9005 ELBE TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761187370",
            "telephone_number": "682-553-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 N NOLAN RIVER RD STE 102",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760331250",
            "telephone_number": "817-556-9700",
            "fax_number": "817-556-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELGAR",
        "first_name": "JACQUELINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1015643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.