DR. MELISSA HENRY (NPI# 1124023718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124023718 |
| Entity Type | Individual |
| Full Name | DR. MELISSA HENRY |
| Credential | MD |
| Practice Address |
2412 50th St Lubbock TX 79412 |
| Mailing Address |
4515 Marsha Sharp Fwy Lubbock TX 79407-2520 |
| Practice Telephone | 8067447223 |
| Practice Fax Number | 8067403325 |
| Mailing Telephone | 8067447223 |
| Mailing Fax Number | 8067403325 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | L0258 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 102873012 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4515 Marsha Sharp Fwy, Lubbock, TX 794072520 | 8067447223 | 8067403325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639545411 | Melissa Anne Henry | Chore Provider | 5765 Iroquois St, Detroit, MI 48213-2501 | 2015-08-17 |
| 1861055857 | Melissa Carender Henry | Speech-Language Pathologist | 1215 21st Ave S Ste 6209, Nashville, TN 37232-0014 | 2019-04-16 |
| 1386091759 | Melissa Henry | Pharmacist | 150 W Main St, Barrington, IL 60010-3440 | 2016-05-16 |
| 1043640030 | Melissa Fox Henry | Nurse Anesthetist, Certified Registered | 171 Ashley Ave, Department of Nurse Anesthesia, Charleston, SC 29425-8908 | 2013-11-12 |
| 1710329586 | Melissa Henry | Pharmacist | 1101 S Fort Hood St, Killeen, TX 76541-7451 | 2013-07-22 |
| 1184065260 | Melissa O. Henry | Counselor | 115 Mill St, Belmont, MA 02478-1064 | 2013-07-17 |
| 1467890087 | Melissa Henry | Physical Therapist | 1509 Fairmont Ave, Fairmont, WV 26554-2135 | 2013-06-05 |
| 1467709873 | Melissa Melonie Henry | Marriage & Family Therapist | 444 Center St, Manchester, CT 06040-3926 | 2012-08-06 |
| 1710025895 | Melissa Ann Henry | Counselor | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2007-02-02 |
| Street Address |
2412 50TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740846955 | Clarissa Syvonne Elizondo | Physician Assistant | 2412 50th St, Lubbock, TX 79412-2504 | 2019-05-13 |
| 1003370909 | Kayleigh Mccarrell | Nurse Anesthetist, Certified Registered | 2412 50th St, Lubbock, TX 79412-2504 | 2019-01-24 |
| 1558852913 | Mason Gibson | Anesthesiologist Assistant | 2412 50th St, Lubbock, TX 79412 | 2018-05-22 |
| 1770074288 | Addie L Powers | Nurse Anesthetist, Certified Registered | 2412 50th St, Lubbock, TX 79412-2504 | 2018-05-21 |
| 1760993844 | Lennon Ndi | Nurse Practitioner | 2412 50th St, Lubbock, TX 79412-2504 | 2017-10-17 |
| 1639607062 | Paula Galloway | Anesthesiologist Assistant | 2412 50th St, Lubbock, TX 79412-2504 | 2017-05-30 |
| 1386181949 | Andrea Griego | Nurse Anesthetist, Certified Registered | 2412 50th St, Lubbock, TX 79412-2504 | 2017-01-20 |
| 1902342231 | Norah Bate | Nurse Practitioner | 2412 50th St, Lubbock, TX 79412-2504 | 2017-01-10 |
| 1659754695 | Ramya Krishna Undamatla | Internal Medicine | 2412 50th St, Lubbock, TX 79412-2504 | 2015-07-08 |
| 1548648942 | Elizabeth Walterscheid Kennelly | Anesthesiologist Assistant | 2412 50th St, Lubbock, TX 79412-2504 | 2015-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801420864 | The Kidney Care Center, LLC | Clinic/Center | 3702 Interstate 27, Lubbock, TX 79412 | 2020-02-28 |
| 1639531254 | Lori Ann Boyd | Dietitian, Registered | 2412 50 Th Street, Lubbock, TX 79412 | 2016-03-23 |
| 1073989083 | Jesse Garcia | Social Worker | 6104 Ave. Q South Drive, Lubbock, TX 79412 | 2015-08-12 |
| 1316294408 | Ronald Caporale | Physician Assistant | 1701 50th Street, Lubbock, TX 79412 | 2012-08-08 |
| 1508152901 | Lilian Francisca Hayes | Counselor | 2345 50th St., Lubbock, TX 79412 | 2011-06-23 |
| 1861787285 | Sarah Delacruz | Counselor | 2345 50th Street, Lubbock, TX 79412 | 2011-06-14 |
| 1407189558 | David G Smith | Counselor | 2345 50th Managed Care Center, Lubbock, TX 79412 | 2009-09-08 |
| 1427261205 | Barbara J Trotter | Dietitian, Registered | 5022 Ave Q, Covenant Ctr for Outpatient Diabetes Education Lubbock, Lubbock, TX 79412 | 2007-05-08 |
| 1447471057 | Elmer Artemus Addington IIi | Chiropractor | 3410 Avenue Q, Lubbock, TX 79412 | 2007-05-01 |
| 1083779805 | Shaun Hamlett Keel PC | Psychologist | 2402 52nd St., Suite 6, Lubbock, TX 79412 | 2006-12-22 |
| Find all providers in zip 79412 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932697604 | Lone Star Mobile Med | Family Medicine | 5504 Wayne Ave Ste 105, Lubbock, TX 79414 | 2018-04-27 |
| 1699283960 | Rhonda Lynn Romero | Family Medicine | 5519 104th St, Lubbock, TX 79424-8265 | 2018-01-19 |
| 1033645296 | Ryan Daniel Lurtsema | Family Medicine | 3601 4th Street Mail Stop 9901, Lubbock, TX 79430-0002 | 2017-05-10 |
| 1285081216 | Bobby R Patterson | Family Medicine | Ttuhsc Dept of Family & Community Medicine, 3601 4th St, Stop 8143, Lubbock, TX 79430-0001 | 2016-05-19 |
| 1851785000 | Jessica Lee Gray | Family Medicine | 4004 82nd St Ste F, Lubbock, TX 79423-2065 | 2015-03-26 |
| 1982044111 | Eileen Mary Sprys | Family Medicine | 3601 4th St., Stop 8143, Lubbock, TX 79430 | 2013-07-02 |
| 1114276276 | Marie D Percy Md Pa | Family Medicine | 4210 50th St, Suite D, Lubbock, TX 79413-3863 | 2012-09-05 |
| 1205196243 | Hilmi Alam | Family Medicine | Department of Family & Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430 | 2012-05-24 |
| 1154688778 | Charla Beth Allen | Family Medicine | 3601 4th St Stop 9901, Lubbock, TX 79430-9901 | 2012-04-19 |
| 1962769588 | Amy Richelle Sikes | Family Medicine | Department of Family and Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430-0001 | 2012-04-19 |
| Find all providers in LUBBOCK | ||||
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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.