MELISSA ANN LISTER (NPI# 1053759118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053759118 |
| Entity Type | Individual |
| Full Name | MELISSA ANN LISTER |
| Credential | NP |
| Practice Address |
111 Avenue F Bay City TX 77414-4117 |
| Mailing Address |
101 Avenue F N Bay City TX 77414-3167 |
| Practice Telephone | 9792452008 |
| Practice Fax Number | 9792452205 |
| Mailing Telephone | 9792452008 |
| Mailing Fax Number | 9792450744 |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2020-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
651257 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 357226501 | 05 | |
| TX | BCBS OF TX | HO8783NC01 | 01 |
| CAQH | 12706093 | 01 | |
| AETNA HEALTH INSURANCE | 4816948 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1700 Golden Ave, Bay City, TX 774143164 | 9792452008 | 9792450744 |
| Street Address |
111 AVENUE F |
| City | BAY CITY |
| State | TX |
| Zip Code | 77414-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821052358 | James E. Ely | Obstetrics & Gynecology | 111 Avenue F, Bay City, TX 77414-4117 | 2006-04-13 |
| 1972915023 | Olubukola Omobolaji Ayeni | Obstetrics & Gynecology | 111 Avenue F, Bay City, TX 77414-4117 | 2014-05-23 |
| 1003193848 | Matagorda Episcopal Health Outreach Program | Family Medicine | 111 Avenue F, Bay City, TX 77414-4117 | 2011-11-08 |
| 1740348523 | South Texas Medical Clinics, P.a. | General Practice | 111 Avenue F, Bay City, TX 77414-4117 | 2006-12-05 |
| 1487618294 | Gregory Lane Keffer | Obstetrics & Gynecology | 111 Avenue F, Bay City, TX 77414-4117 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962040436 | Bay City Pharmacy | Pharmacy | 3217 Avenue F, Bay City, TX 77414 | 2019-12-16 |
| 1013572585 | Amber Robinson | Massage Therapist | 11 Cr 126, 2, Bay City, TX 77414 | 2019-05-09 |
| 1699288076 | Paula Orsak | Dental Hygienist | 205 Ida Ave., Bay City, TX 77414 | 2017-11-08 |
| 1376905844 | Cathy Green | Nurse Practitioner | 600 Hospital Circle, Suite 201, Bay City, TX 77414 | 2016-03-24 |
| 1609277391 | Mary Elizabeth Young | Pharmacist | 2700 7th Street, Bay City, TX 77414 | 2014-09-12 |
| 1194151621 | Tillman Moody Daniel Jr. | General Practice | 2721 Oak Dr., Bay City, TX 77414 | 2013-09-16 |
| 1578863494 | Crayden Dennard, D.d.s. & Ricardo Lucio, D.d.s., Pllc | Dentist | 4040 Ave F, Bay City, TX 77414 | 2010-10-26 |
| 1770818247 | Jennifer Kaye Davis-lewis | Chiropractor | 720 Avenue F, Suite 2, Bay City, TX 77414 | 2009-10-16 |
| 1639321177 | Fondren Orthopedic Group L.l.p. | Orthopaedic Surgery | 720 Avenue F. North, Suite 5, Bay City, TX 77414 | 2008-10-15 |
| 1275684979 | Earl Stanley Brown | Optometrist | 3612 Ave F, Bay City, TX 77414 | 2007-01-16 |
| Find all providers in zip 77414 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074262 | Asia Deann Johnson | Nurse Practitioner | 511 Park Grove Dr, Katy, TX 77450-1759 | 2020-02-08 |
| 1497396071 | Laura Anna Villegas | Nurse Practitioner | 301 Lorenaly Dr Ste E, Brownsville, TX 78526-4446 | 2019-10-04 |
| 1831669944 | Karen Petrusic Mcneal | Nurse Practitioner | 350 Kingwood Medical Dr Ste 350, Kingwood, TX 77339-6405 | 2018-12-01 |
| 1023521721 | Jennifer Carter | Nurse Practitioner | 4221 Ridgecrest, Suite 103, Greenville, TX 75402 | 2017-11-16 |
| 1992127674 | Melissa Johnson | Nurse Practitioner | 401 E 6th St, Odessa, TX 79761-4516 | 2014-01-14 |
| 1063852341 | Carmen Moreno-low | Nurse Practitioner | 7121 Spid Dr Ste 302, Corpus Christi, TX 78412-4941 | 2013-07-01 |
| 1699021451 | Marlene Cornelius | Nurse Practitioner | 929 Gessner Rd Ste 2225, Houston, TX 77024-2584 | 2012-07-31 |
| 1730468588 | Coastal Bend Women's Center | Nurse Practitioner | 7121 Spid Dr Ste 200, Corpus Christi, TX 78412-4940 | 2011-08-11 |
| 1871803916 | Debra Ann Myers | Nurse Practitioner | 1400 N Zaragoza Rd, Suite B, El Paso, TX 79936-8002 | 2010-10-07 |
| 1669783346 | Diane Henry | Nurse Practitioner | 3650 W Wheatland Rd Ste A, Dallas, TX 75237-4409 | 2010-06-28 |
| Find all providers with the same taxonomy | ||||
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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.