Mullissa Childress, APRN

InactiveIndividual ProviderNurse Practitioner
NPI issued: August 9, 2005

Quick Facts

NPI Number
1104827492
TypeIndividual
StatusInactive
SpecialtyNurse Practitioner
Taxonomy363LF0000X — Nurse Practitioner
Phone
(702) 406-4125
StateNV

NPI Validation Status: Deactivated

✅Valid 10-digit NPI number (1104827492)
❌Active status: Deactivated / Inactive
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (August 9, 2005)
Data source: CMS NPPES

Provider Overview

MULLISSA CHILDRESS, APRN is a Nurse Practitioner provider based in Las Vegas, NV who has been registered with CMS since 2005. This NPI is currently Deactivated under CMS NPPES registry.

Provider Details

NPI Number1104827492
Provider TypeIndividual Provider
GenderFemale
CredentialAPRN
StatusInactive
Enumeration DateAugust 9, 2005

Practice Location

CityLas Vegas
StateNV
ZIP Code89145-5343
Phone(702) 406-4125

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LF0000X
License StateNV

Mailing Address

CityLas Vegas
StateNV
ZIP Code89145-5343
Phone(702) 406-4125
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1104827492 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1104827492for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104827492 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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People Also Ask

What is Mullissa Childress's NPI number?
Mullissa Childress's NPI number is 1104827492, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Mullissa Childress's NPI currently active?
No, Mullissa Childress's NPI status is Inactive as of the latest CMS NPPES database updates.
What does Mullissa Childress specialize in?
Mullissa Childress specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LF0000X.
Where does Mullissa Childress practice?
Mullissa Childress practices in Las Vegas, NV 89145-5343.
When was Mullissa Childress's NPI issued?
Mullissa Childress's NPI was issued on August 9, 2005.
What is Mullissa Childress's provider type?
Mullissa Childress is registered as an Individual Provider under CMS NPI Type 1.