MS. TANDY ALICE MELLARD PNP NPI 1427138833

NPI Information

NPI: 1427138833
Provider Name: MS. TANDY ALICE MELLARD, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
4900 MUELLER BLVD
AUSTIN, TX
ZIP 78723
Phone: (512) 324-0197
Get Directions

MS. Tandy Alice Mellard, PNP is a pediatrics nurse practitioner in Austin, TX. MS. Tandy Alice Mellard, PNP NPI is 1427138833. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4900 MUELLER BLVD
AUSTIN, TX
ZIP 78723-079
Phone: (512) 324-0197
Fax: (512) 324-0780

The NPI 1427138833 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 4/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0203X	Pediatrics	Pediatric Critical Care Medicine	646493	TEXAS	No
2	363LP0200X	Nurse Practitioner	Pediatrics	646493	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q55348	MEDICARE UPIN
2	TXB149308	MEDICARE PIN	TEXAS
3	176872303	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »