Individual provider Active NPI

Melissa Marie Vantuinen, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • North Las Vegas, NV
National Provider Identifier
1780253906
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
842656 Issued in NV
Practice address
845 W Craig Rd Ste 104
North Las Vegas, NV 89032-0282
Phone
(702) 740-0648
NPI assigned
Jun 22, 2021
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 842656 NV Primary

Addresses

Primary practice location

845 W Craig Rd Ste 104
North Las Vegas, NV 89032-0282

Mailing address

845 W Craig Rd Ste 104
North Las Vegas, NV 89032-0282
Phone (702) 740-0648

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260515000117 NV Order and Referring Only - Nurse Practitioner 7315339926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
842656NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christina Martinez Aprn PLLC Family CurrentSince Jun 27, 2021 Accepting new patients
Singh Medical PLLC PastSince Jun 27, 2021 Accepting new patients

Locations

845 W Craig Rd
Ste 104
North Las Vegas, NV 89032
Phone (702) 326-4756

Interoperability endpoints

  • Direct secure messaging: melissa.vantuinen.1@14940.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1780253906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 W CRAIG RD STE 104",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320282",
            "telephone_number": "702-740-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W CRAIG RD STE 104",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320282",
            "telephone_number": "702-740-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANTUINEN",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "842656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.