Active NPI
Melissa Irene Pechal, FNP
- Family Nurse Practitioner
- Waco, TX
National Provider Identifier
1962160028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1060036
- Practice address
- 2320 W Loop 340 Ste 200a
Waco, TX 76711-2454 - Phone
- (254) 218-5284
- NPI assigned
- Dec 6, 2021
- Last updated
- Dec 6, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1060036 | TX | Primary |
Addresses
Primary practice location
2320 W Loop 340 Ste 200a
Waco, TX 76711-2454
Mailing address
1112 N 13TH St
Temple, TX 76501-1951
Phone (254) 654-2212
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1962160028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 N 13TH ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765011951",
"telephone_number": "254-654-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 W LOOP 340 STE 200A",
"city": "WACO",
"state": "TX",
"postal_code": "767112454",
"telephone_number": "254-218-5284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECHAL",
"first_name": "MELISSA",
"middle_name": "IRENE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-06",
"last_updated": "2021-12-06",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1060036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.