Individual provider Active NPI

Meronda Marie Viney

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1760070684
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
5600 Boulder Hwy Apt 3981
Las Vegas, NV 89122-7202
Phone
(614) 332-4727
NPI assigned
Jan 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

5600 Boulder Hwy Apt 3981
Las Vegas, NV 89122-7202

Mailing address

5600 Boulder Hwy Apt 3981
Las Vegas, NV 89122-7202
Phone (614) 332-4727

Other identifiers 1

IdentifierTypeStateIssuer
Y6348363OtherCAID

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL marondaviney76@yahoo.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1760070684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 BOULDER HWY APT 3981",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891227202",
            "telephone_number": "614-332-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 BOULDER HWY APT 3981",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891227202",
            "telephone_number": "614-332-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINEY",
        "first_name": "MERONDA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID",
            "identifier": "Y6348363",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "marondaviney76@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5600 Boulder Hwy Apt 3981",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891227202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 6, 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.