Redstar Tyner Mello, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN002900 Issued in NV

Practice address

1151 S Highway 160
Pahrump, NV 89048

Phone

(775) 727-8900

Fax

(775) 537-2090

NPI assigned

May 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Mello Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• M Roberson MD PC

  • Family Medicine Physician
  • Pahrump, NV
  • NPI 1063989606
  NPD (past)

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1114417037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 S HIGHWAY 160",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890484700",
            "telephone_number": "775-727-8900",
            "fax_number": "775-537-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 S HIGHWAY 160",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "89048",
            "telephone_number": "775-727-8900",
            "fax_number": "775-537-2090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 N Town Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446308",
            "country_code": "US",
            "telephone_number": "702-749-9979",
            "fax_number": "702-623-4727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1152 South Highway 160",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "89048",
            "country_code": "US",
            "telephone_number": "775-727-8900",
            "fax_number": "775-537-2090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLO",
        "first_name": "REDSTAR",
        "middle_name": "TYNER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MELLO",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole McKay
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• Andrew Christian Meyers

• Family Nurse Practitioner in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.