Active NPI
Melanie Wiseman, MSN, RN
- Registered Nurse
- Leander, TX
National Provider Identifier
1184332629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 685181
- Practice address
- 401 Sierra Mar Loop
Leander, TX 78641-3544 - Phone
- (512) 293-0480
- NPI assigned
- Nov 14, 2022
- Last updated
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 192294 | AK | MD | Registered Nurse |
| 95299993 | CA | MD | Registered Nurse |
| 191104 | CT | MD | Registered Nurse |
| 500002090 | DC | MD | Registered Nurse |
| 107947 | HI | MD | Registered Nurse |
| 4704387996 | MI | MD | Registered Nurse |
| 840320 | NY | MD | Registered Nurse |
| 202204577 | OR | MD | Registered Nurse |
| 756248 | PA | MD | Registered Nurse |
| 73527 | RI | MD | Registered Nurse |
| 685181 | TX | MD | Registered 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.