Individual provider Active NPI

Melanie Wiseman, MSN, RN

  • Registered Nurse
  • Leander, TX
National Provider Identifier
1184332629
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
685181 Issued in TX
Practice address
401 Sierra Mar Loop
Leander, TX 78641-3544
Phone
(512) 293-0480
NPI assigned
Nov 14, 2022
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 500002090 DC
Registered Nurse 163W00000X 73527 RI
Registered Nurse 163W00000X 756248 PA
Registered Nurse 163W00000X 202204577 OR
Registered Nurse 163W00000X 840320 NY
Registered Nurse 163W00000X 4704387996 MI
Registered Nurse 163W00000X 107947 HI
Registered Nurse 163W00000X 95299993 CA
Registered Nurse 163W00000X 192294 AK
Registered Nurse 163W00000X 191104 CT
Registered Nurse 163W00000X 685181 TX Primary

Addresses

Primary practice location

401 Sierra Mar Loop
Leander, TX 78641-3544

Mailing address

401 Sierra Mar Loop
Leander, TX 78641-3544
Phone (512) 293-0480

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.virtru.com/gmail-encryption/ Health Information Exchange (HIE)

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
192294AKMDRegistered Nurse
95299993CAMDRegistered Nurse
191104CTMDRegistered Nurse
500002090DCMDRegistered Nurse
107947HIMDRegistered Nurse
4704387996MIMDRegistered Nurse
840320NYMDRegistered Nurse
202204577ORMDRegistered Nurse
756248PAMDRegistered Nurse
73527RIMDRegistered Nurse
685181TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1184332629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SIERRA MAR LOOP",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413544",
            "telephone_number": "512-293-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SIERRA MAR LOOP",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413544",
            "telephone_number": "512-293-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "MELANIE",
        "credential": "MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "500002090",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "73527",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "756248",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "202204577",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "840320",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704387996",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "107947",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95299993",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "192294",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "191104",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "685181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.virtru.com/gmail-encryption/",
            "affiliation": "N",
            "endpointDescription": "Email Protection",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "401 Sierra Mar Loop",
            "city": "Leander",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786413544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.