Active NPI
Elizabeth Anne Melton, APRN, FNP, CNM
- Family Nurse Practitioner
- Sparks, NV
National Provider Identifier
1073919296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 831699
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200730002427 | NV | Practitioner - Certified Nurse Midwife (CNM) | 2163847641 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN118512 | AZ | MD | Lactation Consultant (Registered Nurse) |
| RN31731 | NV | MD | Lactation Consultant (Registered Nurse) |
| 831699 | NV | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLC Family Wellness PLLC | Lactation Consultant | Current | Accepting new patients |
Locations
1001 Pyramid Way
Ste 206
Sparks, NV 89431
Phone (775) 710-8380
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.