Individual provider Active NPI

Lynne Marie Spadinger

  • Critical Care Medicine Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1730458951
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
RN508369 Issued in CA
Practice address
2601 S Pavilion Center Dr Unit 1134
Las Vegas, NV 89135-1843
Phone
(858) 395-3593
NPI assigned
Dec 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN508369 CA Primary
Registered Nurse 163W00000X RN69194 NV
Registered Nurse 163W00000X RN166522 AZ

Addresses

Primary practice location

2601 S Pavilion Center Dr Unit 1134
Las Vegas, NV 89135-1843

Mailing address

2601 S Pavilion Center Dr Unit 1134
Las Vegas, NV 89135-1843
Phone (858) 395-3593

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
RN166522AZMDRegistered Nurse
RN69194NVMDRegistered Nurse
RN508369CAMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1730458951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 S PAVILION CENTER DR UNIT 1134",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351843",
            "telephone_number": "858-395-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S PAVILION CENTER DR UNIT 1134",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351843",
            "telephone_number": "858-395-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADINGER",
        "first_name": "LYNNE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CA",
            "license": "RN508369",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "RN69194",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN166522",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Dec 16, 2011; 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.