Individual provider Active NPI

Merylyn Yegon, RN

  • Case Management Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1437570702
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN68870 Issued in NV
Practice address
400 Shadow LN
Las Vegas, NV 89106-4363
Phone
(702) 759-1646
Fax
(702) 868-2821
NPI assigned
Jan 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN68870 NV Primary

Addresses

Primary practice location

400 Shadow LN
Las Vegas, NV 89106-4363

Mailing address

400 Shadow LN
Suite 208
Las Vegas, NV 89106-4363
Phone (702) 759-1646

Other identifiers 2

IdentifierTypeStateIssuer
163WC1500XMedicaidNV
RN68870MedicaidNV

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
RN68870NVMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Nevada Health District Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1437570702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SHADOW LN",
            "address_2": "SUITE 208",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064363",
            "telephone_number": "702-759-1646",
            "fax_number": "702-868-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHADOW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064363",
            "telephone_number": "702-759-1646",
            "fax_number": "702-868-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEGON",
        "first_name": "MERYLYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NV",
            "license": "RN68870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163WC1500X",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN68870",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 3, 2014; 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.