MULLISSA MICHELLE CHILDRESS APRN
NPI 1104827492
Nurse Practitioner, Family in Las Vegas,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 9, 2005

Contact Information

222 S Rainbow Blvd Ste 115
Las Vegas,
Post Code: 89145
Phone: (702) 406-4125
Fax: (702) 745-0452

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Mullissa Michelle Childress Aprn in Las Vegas - Nurse Practitioner, Family

Mullissa Michelle Childress Aprn is a Nurse Practitioner, Family in Las Vegas, . Mullissa Michelle Childress Aprn practices all healthcare services and medical treatments related to Nurse Practitioner, Family. The NPI Number for Mullissa Michelle Childress Aprn is 1104827492. The last update date is 2024-08-21.

Mullissa Michelle Childress Aprn's current location address is 222 S Rainbow Blvd Ste 115, Las Vegas, . You can contact this provider via phone number (702) 406-4125 and fax number (702) 745-0452. The mailing address for Mullissa Michelle Childress Aprn is 222 S Rainbow Blvd Ste 115, Las Vegas, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1104827492
Provider Name
MULLISSA MICHELLE CHILDRESS APRN
Gender
Female
Entity Type
Individual
Location Address
222 S Rainbow Blvd Ste 115, Las Vegas,
Location Phone
(702) 406-4125
Location Fax
(702) 745-0452
Mailing Address
5300 Bright Sun Ct, Las Vegas, Nevada(NV)
Mailing Phone
614-496-8420
Mailing Fax
702-745-0452
Enumeration Date
2005-08-09
Last Update Date
2024-08-21
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner, Primary Care

Taxonomy Code
363LP2300X
Type
-
License No.
APRN002193
License State
Nevada (NV)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 363LF0000X Family Nurse Practitioner

Nurse Practitioner, Family

F0714788 (Ohio)
2 363LP2300X Primary Care Nurse Practitioner

Nurse Practitioner, Primary Care

16446-NP (Ohio)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0113011 MEDICAID (05) Ohio (OH)
0129662 MEDICAID (05) Ohio (OH)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104827492
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210416214418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 210416214418
2 + 1 + 0 + 4 + 1 + 6 + 2 + 1 + 4 + 4 + 1 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 2 2

The NPI number 1104827492 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043213085 ERIC M TODER
Individual
Family Medicine 6853 W CHARLESTON BLVD
LAS VEGAS, Nevada (NV)
702-384-8450
1083617138 RICHARD CHEN
Individual
Internal Medicine, Cardiovascular Disease 3201 S MARYLAND PKWY STE 400
LAS VEGAS, Nevada (NV)
702-796-7150
1093718751 ANTHONY E ALBREGTS
Individual
Dermatology 640 W MOANA LN
RENO, Nevada (NV)
775-336-3624
1093718991 MEETA PATEL
Individual
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 6900 PECOS RD
NORTH LAS VEGAS, Nevada (NV)
702-791-9000
1033112925 NAVKARAN B SINGH
Individual
Obstetrics & Gynecology 9280 W SUNSET RD STE 400
LAS VEGAS, Nevada (NV)
702-366-1268