Individual provider Active NPI

Vaitogi Fely, RN

  • Registered Nurse
  • Mesquite, NV
National Provider Identifier
1235313552
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
52873 Issued in NV
Practice address
61 N Willow St
Ste 4
Mesquite, NV 89027-4785
Phone
(702) 346-4696
Fax
(702) 346-4699
NPI assigned
Dec 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 52873 NV Primary

Addresses

Primary practice location

61 N Willow St
Ste 4
Mesquite, NV 89027-4785

Mailing address

4126 Technology Way
Suite 102
Carson City, NV 89706-2009
Phone (775) 687-7573

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
52873NVMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1235313552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 TECHNOLOGY WAY",
            "address_2": "SUITE 102",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897062009",
            "telephone_number": "775-687-7573",
            "fax_number": "775-687-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 N WILLOW ST",
            "address_2": "STE 4",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890274785",
            "telephone_number": "702-346-4696",
            "fax_number": "702-346-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELY",
        "first_name": "VAITOGI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "52873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.