Individual provider Active NPI

Melinda Luise Dreikorn, RN

  • Registered Nurse
  • Laughlin, NV
National Provider Identifier
1073663209
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
TRN317774 Issued in NV
Practice address
3650 S Pointe Cir
Suite 208
Laughlin, NV 89029-0424
Phone
(702) 298-5313
Fax
(702) 298-0188
NPI assigned
Jan 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X TRN317774 NV Primary

Addresses

Primary practice location

3650 S Pointe Cir
Suite 208
Laughlin, NV 89029-0424

Mailing address

4126 Technology Way
Suite 102
Carson City, NV 89706-2009
Phone (775) 687-7573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
TRN317774NVMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada Past Accepting new patients
State of Nevada Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073663209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 TECHNOLOGY WAY",
            "address_2": "SUITE 102",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062009",
            "telephone_number": "775-687-7573",
            "fax_number": "775-687-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 S POINTE CIR",
            "address_2": "SUITE 208",
            "city": "LAUGHLIN",
            "state": "NV",
            "postal_code": "890290424",
            "telephone_number": "702-298-5313",
            "fax_number": "702-298-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREIKORN",
        "first_name": "MELINDA",
        "middle_name": "LUISE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "TRN317774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laughlin, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.