MEREDITH MELTON LAVALLAIS (NPI# 1215321104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215321104 |
Entity Type | Individual |
Full Name | MEREDITH MELTON LAVALLAIS |
Other Name | MEREDITH DEANNA MELTON |
Credential | M.D |
Practice Address |
901 7th Ave Ste 2200 Fort Worth TX 76104-2722 |
Mailing Address |
Po Box 733784 Dallas TX 75373-3784 |
Practice Telephone | 6828851050 |
Practice Fax Number | 5013643966 |
Mailing Telephone | 6828856483 |
Mailing Fax Number | 6828853113 |
Enumeration Date | 2015-03-27 |
Last Update Date | 2020-08-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
S1438 | TX | Allopathic & Osteopathic Physicians |
N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
E12233 | AR | Allopathic & Osteopathic Physicians |
Street Address |
901 7TH AVE STE 2200 |
City | FORT WORTH |
State | TX |
Zip Code | 76104-2722 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154641215 | Akemi Watkins | Psychiatry & Neurology | 901 7th Ave Ste 2200, Fort Worth, TX 76104-2722 | 2010-06-10 |
1598300402 | Oludotun Oluyemi Peters | Nurse Practitioner | 901 7th Ave Ste 2200, Fort Worth, TX 76104-2722 | 2019-11-14 |
1578057402 | Jordan A Marr | Social Worker | 901 7th Ave Ste 2200, Fort Worth, TX 76104-2722 | 2018-06-14 |
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 | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
1497098735 | Lan Chi Le Vo | Psychiatry & Neurology | 4141 Jenny Lake Trl, Fort Worth, TX 76244-6923 | 2013-04-05 |
1376766931 | Roger R Robinson | Psychiatry & Neurology | 1701 River Run Road, Ste 700, Fort Worth, TX 76107-6579 | 2007-04-11 |
1477646560 | Shanti S Nagireddy | Psychiatry & Neurology | 1300 S University Dr, Ste 200, Fort Worth, TX 76107-5737 | 2006-10-02 |
1073521019 | Farida Ali | Psychiatry & Neurology | 1220 W Presidio St, Fort Worth, TX 76102 | 2006-08-04 |
1063965259 | Svs Psychiatry Pllc | Psychiatry & Neurology | 5560 Mesa Springs Dr, Fort Worth, TX 76123-2120 | 2016-07-25 |
1578905360 | Sreenath Nekkalapu | Psychiatry & Neurology | 5560 Mesa Springs Dr, Fort Worth, TX 76123-2120 | 2013-07-23 |
1760709547 | Kristen Pyrc | Psychiatry & Neurology | 901 7th Ave, Fort Worth, TX 76104-2722 | 2010-05-03 |
1306040977 | Alesha Jayne Hill | Psychiatry & Neurology | 1300 W Lancaster Ave, Ste 205, Fort Worth, TX 76102-3499 | 2007-06-14 |
1861577975 | Thomas M Murphy | Psychiatry & Neurology | 1300 S University Dr, Ste 200, Fort Worth, TX 76107-5737 | 2006-10-26 |
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.