Mullissa Childress Ccm Medical Services
NPI 1073033528 · Family Nurse Practitioner · Las Vegas, NV
Mullissa Childress Ccm Medical Services is a Family Nurse Practitioner organization in Las Vegas, NV (NPI 1073033528).
Provider details
- NPI number
- 1073033528
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mullissa Childress, Nurse Practitioner Provider(702) 406-4125
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Adult Medicine Physician207QA0505X
Allopathic & Osteopathic Physicians
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ccm Medical Services
Registry dates
- Enumerated
- 2017-06-26
- Last updated
- 2025-04-10
- Certified
- 2025-04-10
Frequently asked questions
- What is Mullissa Childress Ccm Medical Services's NPI number?
- Mullissa Childress Ccm Medical Services's National Provider Identifier (NPI) is 1073033528, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mullissa Childress Ccm Medical Services?
- Mullissa Childress Ccm Medical Services is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mullissa Childress Ccm Medical Services located?
- Mullissa Childress Ccm Medical Services's practice location on file with NPPES is 222 S Rainbow Blvd Ste 115, Las Vegas, NV 89145-5126.
- What is Mullissa Childress Ccm Medical Services's phone number?
- The practice phone number listed in the NPPES registry for Mullissa Childress Ccm Medical Services is (702) 406-4125.
- Who is the authorized official for Mullissa Childress Ccm Medical Services?
- The authorized official listed on Mullissa Childress Ccm Medical Services's NPPES record is Mullissa Childress, Nurse Practitioner Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mullissa Childress Ccm Medical Services's NPI active?
- Yes — Mullissa Childress Ccm Medical Services's NPI (1073033528) is active in the NPPES registry as of the last update on 2025-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.