MELISSA RENA DIMERSON


Address: 690 S Loop 336 W Ste 140, Conroe, TX 77304-3320
Phone: 9365237041

MELISSA RENA DIMERSON (NPI# 1679124697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679124697
Entity Type Individual
Full Name MELISSA RENA DIMERSON
Credential APRN
Practice Address 690 S Loop 336 W Ste 140
Conroe
TX 77304-3320
Mailing Address 30202 Glenboro Dr
Spring
TX 77386-1717
Practice Telephone 9365237041
Mailing Telephone 8175866711
Enumeration Date 2019-09-20
Last Update Date 2020-08-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 720241 TX Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP144738 TX Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
26464 I-45 North, Spring, TX 77386 2813671518

Office Location

Street Address 690 S LOOP 336 W STE 140
City CONROE
State TX
Zip Code 77304-3320

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194348649 Neuropsychiatric Hospital of Greater Houston, LLC Psychiatric Hospital 1317 South Loop Road 336 West, Conroe, TX 77304 2020-05-19
1780148676 Muve - Conroe Ambulatory Surgical Center, LLC Clinic/Center 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 2019-01-25
1922591411 Bradley Leiker II Dentist 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 2018-06-11
1598266009 Chapman Pain Consultants Anesthesiology 4015 I45 North, Suite 230-1, Conroe, TX 77304 2018-02-21
1063932366 Jonathan Garcia Specialist/Technologist 1716 Summergate Drive, Conroe, TX 77304 2017-06-27
1932634169 3083 Imaging LLC Clinic/Center 1246 N Fm 3083 West, Conroe, TX 77304 2017-04-25
1881138758 Bolt Urgent Care and Imaging Center, LLC Clinic/Center 1246 Fm 3083 West, Conroe, TX 77304 2016-12-13
1497106272 The Rio At Conroe, LLC Skilled Nursing Facility 604 South Conroe Medical Drive, Conroe, TX 77304 2016-06-23
1093165615 Melanie Kay Plaster Behavioral Analyst 2626 Silver Shadow, Conroe, TX 77304 2016-06-14
1508249798 Conroe Willis Family Medicine, Pllc Family Medicine 4015 I 45 N Ste 220, Conroe, TX 77304 2015-07-07
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285235929 Activate Family Health, Pllc Nurse Practitioner 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 2020-11-07
1891339958 Laura Overton Nurse Practitioner 4714 Fm 1488 Rd # Ate132, Conroe, TX 77384-4928 2019-11-01
1912558990 Natalie Del Angel Nurse Practitioner 9803 Highway 242 Ste 300, Conroe, TX 77385-4369 2019-09-22
1427606763 Trevor Martin Cobb Nurse Practitioner 3708 W Davis St # L, Conroe, TX 77304-1865 2019-08-29
1881256535 Pragya Giri Nurse Practitioner 8139 Spreadwing St, Conroe, TX 77385-1115 2019-07-02
1568027613 Sarah E Vickers Nurse Practitioner 2660 S Woodloch St, Conroe, TX 77385-8556 2019-05-03
1841758828 Claudis Andrew Martin Nurse Practitioner 15197 Moonlight Trl, Conroe, TX 77384-3543 2019-03-07
1417414483 Renee Martha Walker Nurse Practitioner 245 Fm 1488 Rd Apt 801, Conroe, TX 77384-3906 2019-02-26
1467919530 Monica M Milford Nurse Practitioner 419 Oak Stream Dr, Conroe, TX 77304-5627 2019-02-25
1871057661 Natasha Marie Berkowitz Nurse Practitioner 12250 Little Blue Heron Ln, Conroe, TX 77304-1688 2019-01-25
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Competitor

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City CONROE
Zip Code 77304

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Dataset Information

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.

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