Mesquite Medical Equipment

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

149134400 Issued in NV

Legal business name

MESQUITE MEDICAL EQUIPMENT

Practice address

330 Falcon Ridge Pkwy Ste 400B
Mesquite, NV 89027

Phone

(702) 345-4625

Fax

(702) 346-1789

NPI assigned

Nov 16, 2006

Last updated

May 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richelle WakefieldNPI 1043099500

Title

President

Phone

(702) 345-4625

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richelle Wakefield

  • Marriage & Family Therapist
  • St George, UT
  • NPI 1043099500
  NPD Authorized official
• Julia Randle, OT

  • Physical Rehabilitation Occupational Therapist
  • Mesquite, NV
  • NPI 1578635264
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1316010432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2885",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890242885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 FALCON RIDGE PKWY STE 400B",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "89027",
            "telephone_number": "702-345-4625",
            "fax_number": "702-346-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "WAKEFIELD",
        "authorized_official_first_name": "RICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-345-4625"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "149134400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506835",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mesa View Regional Hospital
• Mesquite Clinic Management Company LLC (Mesa View Medical Group)
• Mesquite Clinic Management Company LLC
• Mesquite Dialysis Center LLC
• Mesquite Medical Associates
• Mesquite Vein and Laser, Inc
• Mesquite Womens Clinic LLC
• MMC of Nevada LLC (Mesa View Regional Hospital)
• MMC of Nevada LLC (Mesa View Regional Hospital)
• MMC of Nevada LLC (Mesa View Regional Hospital)

• Durable Medical Equipment & Medical Supplies in Mesquite, NV
• Providers in Mesquite, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.