Active NPI
Melissa S Wright, REGISTERED NURSE
- Pediatrics Physician
- Fort Worth, TX
National Provider Identifier
1942776638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 946089
- Practice address
- 6115 Camp Bowie Blvd
Fort Worth, TX 76116-5512 - Phone
- (972) 673-0404
- NPI assigned
- Oct 19, 2018
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 946089 | TX | Primary |
Addresses
Primary practice location
6115 Camp Bowie Blvd
Fort Worth, TX 76116-5512
Mailing address
104 Cedar Rd
Weatherford, TX 76087-9262
Phone (214) 287-5942
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 |
|---|---|---|---|
| 946089 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1942776638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 CEDAR RD",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760879262",
"telephone_number": "214-287-5942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6115 CAMP BOWIE BLVD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761165512",
"telephone_number": "972-673-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "MELISSA",
"middle_name": "S",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-19",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "946089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.