P Praxis·MD
● Active Type 1 · Individual

MRS. Melinda Lee Silvay O'Keeffe, APRN-CNP

Nurse Practitioner·Floresville, TX· NPI 1528549482 · Enumerated 2018 · 7 years on NPI
O'Keeffe is 1 of 20 nurse practitioner providers in Floresville and 1 of 22123 in Texas.
NPI age
7 years
Enumerated 2018-08-28
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 22123 active nurse practitioner providers in Texas.

NPI age
7 years
≈ at median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-08Enumerated in NPPES
2018 2026

Where they practice

Practice location
8508b Us Highway 181 N
Floresville, TX 781146482
📞 8308217444fax 8302191186
Mailing address
8508b Us Highway 181 N
Floresville, TX 781146482
📞 8303217444fax 8302191186

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #AP145815 taxonomy 363LF0000X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    TX license #933345 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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