MELISSA J. CARRANZA (NPI# 1700882511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700882511 |
| Entity Type | Individual |
| Full Name | MELISSA J. CARRANZA |
| Credential | ACNP |
| Practice Address |
50 Hillcrest Medical Blvd Medical Office Building 1, Suite 105 Waco TX 76712-8952 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2542970650 |
| Practice Fax Number | 2542970655 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 636052 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
636052 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TRICARE | 74178408876712A013 | 01 |
| TX | FIRSTCARE | 131948100 | 01 |
| TX | BLUE CROSS | 8N2873 | 01 |
| TX | 154930501 | 05 | |
| TX | 154930502 | 05 | |
| TX | FIRSTHEALTH | 2091118 | 01 |
| TX | AETNA | 7521392 | 01 |
| TX | BLUE CROSS | 8430B8 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730457342 | Melissa Elaine Carranza | Counselor | 16403 Wilkie Ave, Torrance, CA 90504-1841 | 2011-12-09 |
| 1932759552 | Melissa Guadalupe Carranza | Behavior Technician | 1508 W Artesia Sq Apt B, Gardena, CA 90248-4773 | 2019-09-16 |
| 1245669639 | Melissa Andrea Carranza | Speech-Language Pathologist | 19 Poplar St, Centereach, NY 11720-1717 | 2013-11-06 |
| Street Address |
50 HILLCREST MEDICAL BLVD MEDICAL OFFICE BUILDING 1, SUITE 105 |
| City | WACO |
| State | TX |
| Zip Code | 76712-8952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396303301 | Mason Frederick Beaudry | Physician Assistant | 50 Hillcrest Medical Blvd, Ste 208, 303 & 304, Waco, TX 76712-8952 | 2019-06-04 |
| 1962972083 | Kristen Jewell Chapman | Specialist/Technologist | 50 Hillcrest Medical Blvd, Waco, TX 76712-8952 | 2018-12-01 |
| 1881128122 | Baylor Health Enterprises, L.p. | Pharmacy | 50 Hillcrest Medical Blvd, Suite 200-1, Waco, TX 76712-8952 | 2017-04-13 |
| 1811437486 | Kristyn Jaimye Plemons | Registered Nurse | 50 Hillcrest Medical Blvd, Waco, TX 76712-8952 | 2017-03-02 |
| 1033657523 | Cherri M Ward | Nurse Practitioner | 50 Hillcrest Medical Blvd, Waco, TX 76712-8952 | 2017-02-06 |
| 1700338464 | Holland Humble | Nurse Practitioner | 50 Hillcrest Medical Blvd, Office Building I, Suite 201b, Waco, TX 76712-8952 | 2016-10-28 |
| 1710437744 | James Howard Matthews | Nurse Practitioner | 50 Hillcrest Medical Blvd, Bldg 1 Ste. 201b, Waco, TX 76712-8952 | 2016-10-13 |
| 1811445265 | Joy Hooter | Audiologist | 50 Hillcrest Medical Blvd, #206, Waco, TX 76712-8952 | 2016-09-14 |
| 1821471475 | Gina Harper | Nurse Practitioner | 50 Hillcrest Medical Blvd, Office Building 1; Suite 201b, Waco, TX 76712-8952 | 2015-07-01 |
| 1710367867 | Meghan Danielle Sutton | Nurse Practitioner | 50 Hillcrest Medical Blvd, Waco, TX 76712-8952 | 2015-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972527257 | Meryl Burchardt | Nurse Practitioner | 2201 Macarthur, Suite 2200, Waco, TX 76708 | 2006-07-27 |
| 1699309393 | Kimberly R Woodliff | Nurse Practitioner | 340 Richland West Cir, Waco, TX 76712-7919 | 2020-03-03 |
| 1053888412 | Amy Belen Stewart | Nurse Practitioner | 6901 Medical Pkwy, Waco, TX 76712-7910 | 2018-10-24 |
| 1467963934 | Anna Lilia Bowdoin | Nurse Practitioner | 120 Hillcrest Medical Blvd, Waco, TX 76712-8948 | 2017-10-23 |
| 1548633852 | Kristopher Knox Bartee | Nurse Practitioner | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2015-11-09 |
| 1386041309 | Annie P. Stadstad | Nurse Practitioner | 7125 New Sanger Ave Ste A, Waco, TX 76712-4054 | 2014-11-20 |
| 1922435858 | Laura Suzanne Jones | Nurse Practitioner | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2013-10-10 |
| 1285962688 | Ronda Lea Mullenax | Nurse Practitioner | 6901 Medical Parkway, Waco, TX 76712 | 2009-11-23 |
| 1578796348 | Mark Allen Rutledge | Nurse Practitioner | 100 Hillcrest Medical Blvd, Waco, TX 76712 | 2009-08-27 |
| 1144231564 | Kimbera Mills Christy | Nurse Practitioner | 4800 Memorial Dr, Waco, TX 76711-1329 | 2006-08-10 |
| Find all providers in WACO | ||||
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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.