Individual provider Active NPI

Melanie Teubner-Humber, LPN, CHW

  • Community Health Worker
  • Gilmer, TX
National Provider Identifier
1992516215
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
17254 Issued in TX
Practice address
9258 Winding Way
Gilmer, TX 75645-6435
Phone
(903) 216-4833
NPI assigned
Jan 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 1059886 TX
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X 17254 TX Primary

Addresses

Primary practice location

9258 Winding Way
Gilmer, TX 75645-6435

Mailing address

9258 Winding Way
Gilmer, TX 75645-6435
Phone (903) 216-4833

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melaniehumber1024@icloud.com Health Information Exchange (HIE)

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
17254TXMDAddiction (Substance Use Disorder) Counselor
1059886TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1992516215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9258 WINDING WAY",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756456435",
            "telephone_number": "903-216-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9258 WINDING WAY",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756456435",
            "telephone_number": "903-216-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEUBNER-HUMBER",
        "first_name": "MELANIE",
        "credential": "LPN, CHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "1059886",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": "17254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melaniehumber1024@icloud.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9258 Winding Way",
            "city": "Gilmer",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756456435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gilmer, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.