MELISSA CHAVIRA DE LA VEGA (NPI# 1376829051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376829051 |
Entity Type | Individual |
Full Name | MELISSA CHAVIRA DE LA VEGA |
Other Name | MELISSA CHAVIRA-DE LA VEGA |
Credential | PMHNP |
Practice Address |
1300 S University Dr Fort Worth TX 76107-5737 |
Mailing Address |
Po Box 99371 Fort Worth TX 76199-0371 |
Practice Telephone | 6828851050 |
Practice Fax Number | 6828857572 |
Mailing Telephone | 6828851855 |
Mailing Fax Number | 6828857347 |
Enumeration Date | 2011-10-26 |
Last Update Date | 2012-04-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
797788 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 287585801 | 05 | |
TX | CSHCN | 287585802 | 01 |
Street Address |
1300 S UNIVERSITY DR |
City | FORT WORTH |
State | TX |
Zip Code | 76107-5737 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477646560 | Shanti S Nagireddy | Psychiatry & Neurology | 1300 S University Dr, Ste 200, Fort Worth, TX 76107-5737 | 2006-10-02 |
1780914754 | Monica J Nelson | Nurse Practitioner | 1300 S University Dr, Ste 200, Fort Worth, TX 76107-5737 | 2010-01-13 |
1861577975 | Thomas M Murphy | Psychiatry & Neurology | 1300 S University Dr, Ste 200, Fort Worth, TX 76107-5737 | 2006-10-26 |
1821173915 | Denis S Atkinson | Psychiatry & Neurology | 1300 S University Dr, Ste 200, Fort Worth, TX 76107-5737 | 2006-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
Find all providers in zip 76107 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386257814 | Daniel Oyewusi Oyewole | Nurse Practitioner | 4051 Hunters Creek Dr, Fort Worth, TX 76123-2549 | 2020-08-25 |
1174147037 | Ugbodu Ene Awoniyi | Nurse Practitioner | 4924 Cliburn Dr, Fort Worth, TX 76244-6130 | 2020-06-05 |
1346863925 | Lynnetta Vanice Cheeks | Nurse Practitioner | 6101 Saddlepack Dr, Fort Worth, TX 76123-1591 | 2020-05-18 |
1073143160 | Dorcas Mwangi | Nurse Practitioner | 4809 Campfire Ct, Fort Worth, TX 76244-7922 | 2020-01-17 |
1497390686 | Chigane Abraham | Nurse Practitioner | 8609 Glenburne Dr, Fort Worth, TX 76131 | 2019-11-12 |
1457895666 | Paul Geise | Nurse Practitioner | 3501 Ne Loop 820, #306, Fort Worth, TX 76137-2415 | 2016-12-06 |
1477005007 | Amie Wolverton Riddle | Nurse Practitioner | 320 Silver Canyon Dr, Fort Worth, TX 76108-9612 | 2016-10-31 |
1659742211 | Kamesha Roshun Mitchell | Nurse Practitioner | 3100 Hulen St, Fort Worth, TX 76107 | 2015-10-08 |
1255592424 | Akosua Serwaa Obeng | Nurse Practitioner | 8949 Silent Brook Ln, Fort Worth, Fort Worth, TX 76244-4946 | 2008-06-20 |
1154518470 | Dawn Dean | Nurse Practitioner | 124 Cooks Ln, Fort Worth, TX 76120-2016 | 2007-10-01 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76107 |
Please comment or provide details below to improve the information on MELISSA CHAVIRA DE LA VEGA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.