Individual provider Active NPI

Elizabeth Anne Melton, APRN, FNP, CNM

  • Family Nurse Practitioner
  • Sparks, NV
National Provider Identifier
1073919296
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
831699 Issued in NV
Practice address
1001 Pyramid Way Ste 206
Sparks, NV 89431-4470
Phone
(775) 771-1390
Fax
(602) 354-9272
NPI assigned
Nov 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 831699 NV Primary
Lactation Consultant (Registered Nurse) 163WL0100X RN118512 AZ
Advanced Practice Midwife 367A00000X 831699 NV
Lactation Consultant (Registered Nurse) 163WL0100X RN31731 NV

Addresses

Primary practice location

1001 Pyramid Way Ste 206
Sparks, NV 89431-4470

Mailing address

5880 Pelham Dr
Reno, NV 89502-9730
Phone (775) 771-1390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200730002427 NV Practitioner - Certified Nurse Midwife (CNM) 2163847641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN118512AZMDLactation Consultant (Registered Nurse)
RN31731NVMDLactation Consultant (Registered Nurse)
831699NVMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Family Wellness PLLC Lactation Consultant CurrentSince Jan 1, 2020 Accepting new patients

Locations

1001 Pyramid Way
Ste 206
Sparks, NV 89431
Phone (775) 710-8380

Interoperability endpoints

  • Direct secure messaging: elizabeth.melton.1@31750.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1416096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1073919296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 PELHAM DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895029730",
            "telephone_number": "775-771-1390",
            "fax_number": "602-354-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PYRAMID WAY STE 206",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894314470",
            "telephone_number": "775-771-1390",
            "fax_number": "602-354-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTON",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "APRN, FNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-16",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "831699",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "AZ",
            "license": "RN118512",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NV",
            "license": "831699",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NV",
            "license": "RN31731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.