Individual provider Active NPI

Danielle Memmott, APRN, FNP-BC

  • Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1598522898
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
819447 Issued in NV
Practice address
1550 N Green Valley Pkwy
Henderson, NV 89074-7108
Phone
(702) 666-0493
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 819447 NV Primary
Critical Care Medicine Registered Nurse 163WC0200X 819447 NV

Addresses

Primary practice location

1550 N Green Valley Pkwy
Henderson, NV 89074-7108

Mailing address

4414 Outlook Vista Ave
North Las Vegas, NV 89084-4963
Phone (702) 767-1330

Other practice location 1

1776 E Warm Springs Rd
Las Vegas, NV 89119-4676
Phone (702) 767-1330

Other practice location 2

657 N Town Center Dr
Las Vegas, NV 89144-6367
Phone (702) 767-1330

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

State licenses

LicenseStateTypeSpecialty
819447NVMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1598522898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 OUTLOOK VISTA AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890844963",
            "telephone_number": "702-767-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N GREEN VALLEY PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747108",
            "telephone_number": "702-666-0493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1776 E Warm Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891194676",
            "country_code": "US",
            "telephone_number": "702-767-1330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "657 N Town Center Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446367",
            "country_code": "US",
            "telephone_number": "702-767-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEMMOTT",
        "first_name": "DANIELLE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "819447",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NV",
            "license": "819447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.