MELANI MARIE KELLISON FNP-C NPI 1588365613

NPI Information

  • NPI: 1588365613
  • Provider Name: MELANI MARIE KELLISON, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 912 S CAPITAL OF TEXAS HWY STE 100
    WEST LAKE HILLS, TX
    ZIP 78746
  • Phone: (512) 306-8360

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NPI Details

Melani Marie Kellison, FNP-C is a family nurse practitioner in West Lake Hills, TX with 4 years of experience. Melani Marie Kellison, FNP-C NPI is 1588365613. 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:

912 S CAPITAL OF TEXAS HWY STE 100
WEST LAKE HILLS, TX
ZIP 78746-242
Phone: (512) 306-8360
Fax: (855) 270-9668

The NPI 1588365613 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 3/15/2023 and was last updated on 9/9/2025.

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
1363L00000XNurse Practitioner60550NEW MEXICONo
2363LF0000XNurse PractitionerFamily1191186TEXASYes

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: 11/21/2025

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