Active NPI
Melinda Ann Rodriguez, APRN
- Family Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1588391775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 854799
- Practice address
- 4530 S Decatur Blvd Ste 100
Las Vegas, NV 89103-5239 - Phone
- (725) 726-2660
- Fax
- (725) 726-2674
- NPI assigned
- Aug 6, 2022
- Last updated
- Oct 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 854799 | NV | |
| Family Nurse Practitioner | 363LF0000X | 854799 | NV | Primary |
Addresses
Primary practice location
4530 S Decatur Blvd Ste 100
Las Vegas, NV 89103-5239
Mailing address
4530 S Decatur Blvd Ste 100
Las Vegas, NV 89103-5239
Phone (725) 726-2660
Other names 1
- Melinda Uszuko
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | muszuko | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shadow Emergency Physicians PLLC | Nurse Practitioner | Current | Accepting new patients |
| Shadow Emergency Physicians PLLC | Nurse Practitioner | Current | Accepting new patients |
| Shadow Emergency Physicians PLLC | Current | Accepting new patients |
Locations
865 E Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 369-7671
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1184795874
Nurse Practitioner
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1043030919
Nurse Practitioner
-
- Emergency Medicine Physician
- Henderson, NV
- NPI 1487496998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1588391775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 S DECATUR BLVD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891035239",
"telephone_number": "725-726-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 S DECATUR BLVD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891035239",
"telephone_number": "725-726-2660",
"fax_number": "725-726-2674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MELINDA",
"middle_name": "ANN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-06",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "854799",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "854799",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "muszuko",
"affiliation": "N",
"endpointDescription": "me",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6805 Villa Creek Ct",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891396761",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MELINDA",
"last_name": "USZUKO",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.