MELISSA JOANN DOCTOR (NPI# 1114414430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114414430 |
| Entity Type | Individual |
| Full Name | MELISSA JOANN DOCTOR |
| Other Name | MELISSA J DIAZ |
| Credential | PMHNP |
| Practice Address |
4849 N Mesa St Ste 201 El Paso TX 79912-5919 |
| Mailing Address |
1482 Senda Del Sol El Paso TX 79911-3045 |
| Practice Telephone | 9153516600 |
| Practice Fax Number | 9153516601 |
| Mailing Telephone | 9158613078 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 799763 | TX | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
143585 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BOARD ADVANCED PRACTICE PMHNP LICENSE NUMBER | 143585 | 01 |
| TX | TEXAS BOARD OF NURSING LICENSE NUMBER | 799763 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1390 Northwestern Dr, El Paso, TX 799128003 | 9155031959 | |
| 1600 Montana Ave, El Paso, TX 799025622 | 9155996670 | 9157750549 |
| Street Address |
4849 N MESA ST STE 201 |
| City | EL PASO |
| State | TX |
| Zip Code | 79912-5919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134265309 | Michael Lam | Radiology | 4849 N Mesa St Ste 201, El Paso, TX 79912-5919 | 2007-01-29 |
| 1831757889 | Diana Escobedo Md Pa | Family Medicine | 4849 N Mesa St Ste 201, El Paso, TX 79912-5919 | 2019-06-04 |
| 1265981625 | Border Pain Institute, Pa | Pain Medicine | 4849 N Mesa St Ste 201, El Paso, TX 79912-5919 | 2016-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
| 1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
| 1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
| 1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
| 1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
| 1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
| Find all providers in zip 79912 | ||||
| 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 |
|---|---|---|---|---|
| 1720699473 | Anabel Bijemia Sema | Nurse Practitioner | 2024 Thomas Lackland St, El Paso, TX 79938-3220 | 2020-08-14 |
| 1205379674 | Jorge Arturo Medina Jr. | Nurse Practitioner | 6070 Gateway Blvd E Ste 506, El Paso, TX 79905-2031 | 2016-12-02 |
| 1336501352 | Rosa Isela Zamora | Nurse Practitioner | 4364 Loma Rica Way, El Paso, TX 79934-3800 | 2016-03-28 |
| 1861874729 | Irene Louisa Dunn | Nurse Practitioner | 11160 Montwood Dr, El Paso, TX 79936-4240 | 2015-06-26 |
| 1447597562 | Pwp Inc | Nurse Practitioner | 1605 George Dieter 526, El Paso, TX 79936 | 2013-01-09 |
| 1174750160 | Changes Mental Health Services Pllc | Nurse Practitioner | 1831 Marlys Larson St, El Paso, TX 79936-5098 | 2009-06-17 |
| 1558977306 | Patricia Torres | Nurse Practitioner | 811 Chelsea St Ste B, El Paso, TX 79903-4925 | 2020-09-17 |
| 1881207603 | Stephanie Marissa Cardenas | Nurse Practitioner | 5001 N Piedras St, El Paso, TX 79930-4210 | 2020-08-31 |
| 1528670734 | Rolando Andres Espino | Nurse Practitioner | 1390 Northwestern Dr, El Paso, TX 79912-8003 | 2020-08-19 |
| 1356965891 | Danielle Croslin Fisher | Nurse Practitioner | 1225 E Cliff Dr Bldg 3, El Paso, TX 79902-4738 | 2020-06-01 |
| Find all providers in EL PASO | ||||
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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.