MRS. MELISSA LEE HALTOM (NPI# 1639635196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639635196 |
Entity Type | Individual |
Full Name | MRS. MELISSA LEE HALTOM |
Credential | MSN, APRN, FNP-C |
Practice Address |
19701 Kingwood Dr Bldg 5 Kingwood TX 77339-3773 |
Mailing Address |
3703 Riverwood Park Dr Humble TX 77345-1186 |
Practice Telephone | 2813194111 |
Mailing Telephone | 2818519623 |
Enumeration Date | 2019-02-20 |
Last Update Date | 2019-04-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP140453 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
5330c Fm 1960 Rd E, Humble, TX 773462502 | 8323904579 |
Street Address |
19701 KINGWOOD DR BLDG 5 |
City | KINGWOOD |
State | TX |
Zip Code | 77339-3773 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184627341 | Julie A Bernell | Obstetrics & Gynecology | 19701 Kingwood Dr Bldg 5, Kingwood, TX 77339-3773 | 2005-05-23 |
1063022820 | Katielee R Tingey | Physician Assistant | 19701 Kingwood Dr Bldg 5, Kingwood, TX 77339-3773 | 2020-08-06 |
1447872825 | Elizabeth Robertson Sloan | Physician Assistant | 19701 Kingwood Dr Bldg 5, Kingwood, TX 77339-3773 | 2020-05-08 |
1437602604 | Kelly Mcintyre | Physician Assistant | 19701 Kingwood Dr Bldg 5, Kingwood, TX 77339-3773 | 2016-07-25 |
1780983296 | Lauren Hoffman Hernandez | Obstetrics & Gynecology | 19701 Kingwood Dr Bldg 5, Kingwood, TX 77339-3773 | 2011-03-23 |
1992786149 | Christopher James Glenn | Obstetrics & Gynecology | 19701 Kingwood Dr Bldg 5, Kingwood, TX 77339-3773 | 2005-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851913669 | Robert Rowlands | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Kingwood, Tx, 77339, Kingwood, TX 77339 | 2020-05-14 |
1295356467 | Christopher Dilger | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Gme Suite 105, Kingwood, TX 77339 | 2020-04-29 |
1427600337 | Lynda Nguyen | Nurse Practitioner | 24006 Highway 59 N, Kingwood, TX 77339 | 2019-07-11 |
1215599139 | H-e-b, Lp | Clinical Medical Laboratory | 19529 Northpark Drive, Kingwood, TX 77339 | 2019-07-01 |
1639631492 | Trung Nguyen | Student in an Organized Health Care Education/Training Program | 22999 Us 59 N, Kingwood, TX 77339 | 2019-04-02 |
1467913673 | Bhavin G Shah | Student in an Organized Health Care Education/Training Program | 22999 Us-59 N, Kingwood, Tx 77339, Kingwood, TX 77339 | 2019-03-29 |
1164999462 | Erica Peters | Behavior Technician | 2825 W. Town Center Circle, Kingwood, TX 77339 | 2018-10-25 |
1780162040 | Kaldan Inc | Dentist | 23812 Hwy 59 North, Kingwood, TX 77339 | 2018-07-30 |
1457845745 | John Micheal Leondike | Nurse Practitioner | 2665 Royal Forrest Dr., Ste B-150, Kingwood, TX 77339 | 2018-06-19 |
1780173161 | Pta Home Health Care | Home Health | 5606 Rocky Trail Dr, Kingwood, TX 77339 | 2018-05-01 |
Find all providers in zip 77339 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821636168 | Amanda B Neill | Nurse Practitioner | 22751 Professional Dr Ste 1200, Kingwood, TX 77339-6022 | 2019-12-17 |
1821631524 | Jessica Weatherly | Nurse Practitioner | 2915 Laurel Mist Ct, Kingwood, TX 77345-4943 | 2019-10-25 |
1174183099 | Paulina Montserrat Gutierrez | Nurse Practitioner | 22710 Professional Dr Ste 203, Kingwood, TX 77339-6009 | 2019-06-13 |
1609332097 | Amanda P Stemmans | Nurse Practitioner | 1331 Kingwood Dr, Kingwood, TX 77339-3037 | 2019-02-11 |
1992270532 | Brenda Karst | Nurse Practitioner | 1524 Kingwood Dr 4u Med Clinic, Kingwood, TX 77339-3042 | 2018-10-10 |
1982180402 | Anastasia Gallagher Jacobs | Nurse Practitioner | 2323 Riverway Oak Dr, Kingwood, TX 77345-2122 | 2018-07-17 |
1225490220 | Carolyn Kennington | Nurse Practitioner | 1850 W Lake Houston Pkwy Ste 100, Kingwood, TX 77339 | 2016-03-28 |
1518328582 | Amanda Dixon | Nurse Practitioner | 1850 W Lake Houston Pkwy Ste 150, Kingwood, TX 77339 | 2016-03-17 |
1669842613 | Kami Wasilewski | Nurse Practitioner | 3210 Big Fir Dr, Kingwood, TX 77345-2429 | 2015-10-03 |
1356724777 | Deborah Lynn Mccrea | Nurse Practitioner | 5022 Maple Brook Ln, Kingwood, TX 77345-1020 | 2015-07-02 |
Find all providers in KINGWOOD |
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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.