Active NPI
Melanie Marie Davis
- Home Health Aide
- Las Vegas, NV
National Provider Identifier
1093339749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 5055 E Charleston Blvd Apt C116
Las Vegas, NV 89104-6476 - Phone
- (702) 201-8759
- NPI assigned
- May 28, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | |||
| Chore Provider | 372500000X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
5055 E Charleston Blvd Apt C116
Las Vegas, NV 89104-6476
Mailing address
5055 E Charleston Blvd Apt C116
Las Vegas, NV 89104-6476
Phone (702) 201-8759
Other practice location 1
5055 E Charleston Blvd Apt C116
Las Vegas, NV 89104-6476
Phone (702) 201-8759
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Medicaid | NV | |
| NA | Other | NA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | cox | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590624000000",
"number": "1093339749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 E CHARLESTON BLVD APT C116",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891046476",
"telephone_number": "702-201-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 E CHARLESTON BLVD APT C116",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891046476",
"telephone_number": "702-201-8759"
}
],
"practiceLocations": [
{
"address_1": "5055 E Charleston Blvd Apt C116",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891046476",
"country_code": "US",
"telephone_number": "702-201-8759",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "MELANIE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-28",
"last_updated": "2020-05-28",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NA",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cox",
"affiliation": "N",
"endpointDescription": "internet",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5055 E Charleston Blvd Apt C116",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891046476",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.