MRS. MELANIE BAINBRIDGE (NPI# 1588633721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588633721 |
| Entity Type | Individual |
| Full Name | MRS. MELANIE BAINBRIDGE |
| Other Name | MELANIE SMITH |
| Credential | APRN |
| Practice Address |
4785 S Durango Dr Ste 101 Las Vegas NV 89147-8167 |
| Practice Telephone | 7028898444 |
| Practice Fax Number | 7028898454 |
| Mailing Telephone | 7028898444 |
| Mailing Fax Number | 7028898454 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2019-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
814650 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
19683 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 747 52nd St, Oakland, CA 946091809 | 5104283000 |
| Street Address |
4785 S DURANGO DR STE 101 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89147-8167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396283131 | Katelyn Michelle Kofford | Physician Assistant | 4785 S Durango Dr Ste 101, Las Vegas, NV 89147-8167 | 2017-01-31 |
| 1518181841 | Wee Care Pediatrics | Pediatrics | 4785 S Durango Dr Ste 101, Las Vegas, NV 89147-8167 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593621 | Ata Group Lv | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10170 W Tropicana Ave Ste 156-211, Las Vegas, NV 89147 | 2020-06-25 |
| 1104474022 | Jacklyn Siagatonu | Behavior Technician | 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 | 2019-09-04 |
| 1700388253 | Pr Acquisition Corporation | Clinic/Center | 9892 W Flamingo Road, Las Vegas, NV 89147 | 2018-03-01 |
| 1629578836 | Jonathan Balagot Dizon | Optometrist | 4160 S Durango Dr, Las Vegas, NV 89147 | 2018-02-14 |
| 1346751526 | Ignite Teen Treatment, LLC | Clinic/Center | 3722 Lone Mesa Dr, Las Vegas, NV 89147 | 2017-10-16 |
| 1306365275 | Diversified Behavioral Health Services LLC | Community/Behavioral Health | 9636 W.cherokee Ave, Las Vegas, NV 89147 | 2017-09-12 |
| 1356874713 | A8a Personal Care Solution LLC | In Home Supportive Care | 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 | 2017-04-04 |
| 1154782191 | Ma Leah Roble Maravillas | Behavioral Analyst | 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 | 2016-03-18 |
| 1285010959 | Samantha Lauren Pope | Specialist | 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 | 2015-08-05 |
| 1215311980 | Daniel Dorado | Marriage & Family Therapist | 9848 Gallo Dr, Las Vegas, NV 89147 | 2015-07-13 |
| Find all providers in zip 89147 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740773183 | Julie Bascones | Nurse Practitioner | 3050 E Bonanza Rd Ste 130, Las Vegas, NV 89101-3706 | 2018-06-11 |
| 1770027708 | Rowena Cruz Garcia | Nurse Practitioner | 3100 W Charleston Blvd Ste 210, Las Vegas, NV 89102-1900 | 2016-12-09 |
| 1659756021 | Victoria Sijuade | Nurse Practitioner | 6850 N Durango Dr Ste 301, Las Vegas, NV 89149-4597 | 2015-07-27 |
| 1376956789 | Jeffery Ray Tackett | Nurse Practitioner | 5575 S Durango Dr Ste 103, Las Vegas, NV 89113-1834 | 2014-06-04 |
| 1891001616 | Nikki Cuasay | Nurse Practitioner | 657 N Town Center Dr Fl 5, Las Vegas, NV 89144-6367 | 2010-08-31 |
| 1023338738 | Michaela Susan Brooks | Nurse Practitioner | 968 E Sahara Ave, Las Vegas, NV 89104-3022 | 2010-06-03 |
| 1861642480 | Tisha Saori Fujino | Nurse Practitioner | 6670 S. Tenaya Way #180, Las Vegas, NV 89113 | 2008-09-19 |
| 1871752303 | Meredith Nettles D'agostino | Nurse Practitioner | 500 N Rainbow Blvd Ste 300-345, Las Vegas, NV 89107-1082 | 2008-06-09 |
| 1023186889 | Jill Kathleen Schwartz | Nurse Practitioner | 10105 Banburry Cross Drive Suite 370, Las Vegas, NV 89144 | 2006-12-01 |
| 1861569824 | Olga R Kalbermatter | Nurse Practitioner | 1090 E Desert Inn Rd Ste 200, Las Vegas, NV 89109-2803 | 2006-11-28 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.