Active NPI
Melissa Gayle Nealy, IBCLC, CPM, LM
- Midwife
- Richmond, TX
National Provider Identifier
1982175840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 99507
- Practice address
- 1305 FM 359 Rd Ste G
Richmond, TX 77406-2024 - Phone
- (832) 439-9838
- Fax
- (346) 857-0515
- NPI assigned
- Dec 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Midwife | 176B00000X | 99507 | TX | Primary |
Addresses
Primary practice location
1305 FM 359 Rd Ste G
Richmond, TX 77406-2024
Mailing address
614 River Delta LN
Rosenberg, TX 77469-5790
Phone (832) 439-9838
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 |
|---|---|---|---|
| 99507 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1982175840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 RIVER DELTA LN",
"city": "ROSENBERG",
"state": "TX",
"postal_code": "774695790",
"telephone_number": "832-439-9838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 FM 359 RD STE G",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774062024",
"telephone_number": "832-439-9838",
"fax_number": "346-857-0515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEALY",
"first_name": "MELISSA",
"middle_name": "GAYLE",
"credential": "IBCLC, CPM, LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-17",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "TX",
"license": "99507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.