Daimaris Mella Perez

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

CHW1-5267 Issued in NV

Practice address

8225 W Sahara Ave Ste H
Las Vegas, NV 89117-8929

Phone

(702) 476-2899

Fax

(702) 476-1575

NPI assigned

Nov 21, 2017

Last updated

Aug 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1255845699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 GAREHIME ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084341",
            "telephone_number": "702-945-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 W SAHARA AVE STE H",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178929",
            "telephone_number": "702-476-2899",
            "fax_number": "702-476-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLA PEREZ",
        "first_name": "DAIMARIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NV",
            "license": "CHW1-5267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luiza Melkonyan
• Lusine Melkonyan
• Satenik Melkonyan
• Sofya Melkonyan
• Milena Melkumiani
• Jay Dee Mellette, ATC
• Broderick Wayne Melling, DMD
• Kristin Mellinger, BCBA
• Raymond John Mellinger, PT, DPT
• Melliti Medical Group PLLC

• Community Health Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Health Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.