NPIMap

Organization Active NPI

Shorelines

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1225675861
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SHORELINES
Practice address
500 N Rainbow Blvd
Las Vegas, NV 89107-1082
Phone
(843) 619-3571
NPI assigned
Dec 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Authorized official

Name
Dr. Meredith D'Agostino, NPNPI 1871752303
Title
Practice Owner
Phone
(843) 619-3571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

500 N Rainbow Blvd
Las Vegas, NV 89107-1082

Mailing address

500 N Rainbow Blvd Ste 300-345
Las Vegas, NV 89107-1082
Phone (833) 246-8353

Other identifiers 2

IdentifierTypeStateIssuer
1871752303MedicaidSC
816203OtherNVNV - APRN LICENSE

Other names 1

  • Shorelines Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address meredith@shorelinescare.com
Direct Messaging Address meredoth@shorelinescare.com

National Provider Directory

National Provider Directory

Locations

500 N Rainbow Blvd
Ste 300345
Las Vegas, NV 89107
Phone (833) 246-8353

216 Scott St
Mt Pleasant, SC 29464
Phone (843) 425-5389

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1225675861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD STE 300-345",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071082",
            "telephone_number": "833-246-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071082",
            "telephone_number": "843-619-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "D'AGOSTINO",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "843-619-3571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871752303",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV - APRN LICENSE",
            "identifier": "816203",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meredith@shorelinescare.com",
            "affiliation": "N",
            "address_1": "927 Legends Club Dr",
            "city": "Mount Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294669055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meredoth@shorelinescare.com",
            "affiliation": "N",
            "address_1": "500 N Rainbow Blvd Ste 300-345",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891071082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Shorelines",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shorelines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 8, 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.

Verify at the official NPI Registry.