MELISSA MAXWELL (NPI# 1952937823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952937823 |
| Entity Type | Individual |
| Full Name | MELISSA MAXWELL |
| Practice Address |
1400 8th Ave Fort Worth TX 76104-4110 |
| Mailing Address |
6225 N State Highway 161 Ste 200 Irving TX 75038-2241 |
| Practice Telephone | 8179262544 |
| Mailing Telephone | 2146870001 |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
812983 | TX | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 1010768 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063063006 | Melissa Maxwell | Speech-Language Pathologist | 1503 Josie Ln Apt 405, Fort Mill, SC 29708-0220 | 2019-09-20 |
| 1881799419 | Melissa Kaye Maxwell | Physical Therapist | 10824 Belair Dr, Indianapolis, IN 46280-1192 | 2006-09-14 |
| 1063428993 | Melissa L Maxwell | Pharmacist | 7605 Sw Whitford Dr, Portland, OR 97223-7066 | 2006-07-31 |
| 1891394862 | Melissa Maxwell | Counselor | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2020-10-21 |
| 1518502319 | Melissa Anne Maxwell | Nurse Practitioner | 7200 E Indiana St, Evansville, IN 47715-2753 | 2019-11-15 |
| 1497308886 | Melissa Maxwell | Pharmacist | 406 Youens Dr, Weimar, TX 78962-3680 | 2019-07-24 |
| 1497239529 | Melissa Maxwell | Dietitian, Registered | 4801 Frankford Rd Ste 300, Dallas, TX 75287-5329 | 2018-09-25 |
| 1518471192 | Melissa Ann Maxwell | Registered Nurse | 4600 Goer Dr Ste 201, North Charleston, SC 29406-6500 | 2017-11-19 |
| 1710306220 | Melissa Maxwell | Occupational Therapy Assistant | 210 E Milltown Rd, Suite A, Wooster, OH 44691-1246 | 2014-04-11 |
| 1427365824 | Melissa Paige Maxwell | Social Worker | 751 E Grand Blvd, Detroit, MI 48207-2529 | 2010-09-07 |
| Street Address |
1400 8TH AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393674 | Todd Ryan Newton | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-10-13 |
| 1477163749 | Sarah Louise Kelley | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-08-03 |
| 1659980811 | Jessica Marie Custance | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-07-23 |
| 1912516170 | Kevin Pannell | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-07-23 |
| 1093336570 | Lindsay Keller Chapman | Physical Therapist | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-05-06 |
| 1093336752 | Joab Odhiambo Acholla | Nurse Practitioner | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-05-04 |
| 1700419421 | Jaclyn Theresa Channell | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-02-20 |
| 1245861160 | Landon Collier | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-01-29 |
| 1245861178 | Brittney Long | Registered Nurse | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-01-29 |
| 1871123042 | Elizabeth Fry | Nurse Practitioner | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2020-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288524 | Pmr Crna Pllc | Nurse Anesthetist, Certified Registered | 5000 Alicia Dr, Fort Worth, TX 76133-7902 | 2020-09-08 |
| 1922622919 | Devontee Delishuanee Rayford | Nurse Anesthetist, Certified Registered | 3925 Crenshaw Ave, Fort Worth, TX 76105-4115 | 2020-06-04 |
| 1487292520 | Tran Dao | Nurse Anesthetist, Certified Registered | 8113 Rambler Rose St, Fort Worth, TX 76137-1294 | 2019-12-19 |
| 1093375305 | Desiree Michelle Silva | Nurse Anesthetist, Certified Registered | 7212 Park West Cir Apt 8210, Fort Worth, TX 76134-3570 | 2019-06-18 |
| 1255877551 | Virtue Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 209 Saint Louis Ave, Fort Worth, TX 76104-1231 | 2017-01-10 |
| 1326406919 | Tonie Durrah | Nurse Anesthetist, Certified Registered | 9713 Burwell Dr, Fort Worth, TX 76244-9531 | 2016-02-10 |
| 1730545658 | Erasmo Coutino | Nurse Anesthetist, Certified Registered | 917 W Broadus Ave, Fort Worth, TX 76115-2410 | 2016-01-07 |
| 1528423365 | John Ryan Nuckols | Nurse Anesthetist, Certified Registered | 6020 Portico Dr Apt 1527, Fort Worth, TX 76132-4189 | 2015-12-21 |
| 1194198457 | Nathan Boone Crick | Nurse Anesthetist, Certified Registered | 5264 Buffalo Gap Trl, Fort Worth, TX 76126 | 2015-11-09 |
| 1780061044 | Heather Taylor Ross | Nurse Anesthetist, Certified Registered | 5918 Siltstone Ln, Apt 616, Fort Worth, TX 76137-8003 | 2015-05-06 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.