Melissa Countz, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

226665 Issued in CA

Practice address

2857 Shadow Canyon Cir
Norco, CA 92860-1147

Phone

(909) 573-7983

NPI assigned

Sep 26, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1558764118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2857 SHADOW CANYON CIR",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601147",
            "telephone_number": "909-573-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2857 SHADOW CANYON CIR",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601147",
            "telephone_number": "909-573-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNTZ",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "226665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anali Corona
• Corrections and Rehabilitation-Headquarters (California Rehabilitation Center Pharmacy)
• Eilene Alejandra Cota Mojarro
• County of Riverside (CalWORKs Norco)
• Eric Countz, RN
• Cox Dental Corporation (Gentle Dental Corporation)
• Kaitlin Craft
• Crest Home for the Elderly
• Crest Villa LLC
• Sarah Cruse, CCC-SLP

• Licensed Vocational Nurse in Norco, CA
• Providers in Norco, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.