Petrine Manyi Mengot

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

308956 Issued in TX

Practice address

5700 N Knoll Apt 310
San Antonio, TX 78240-2253

Phone

(832) 207-1411

NPI assigned

Mar 2, 2018

Last updated

Mar 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1629570825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 N KNOLL APT 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402253",
            "telephone_number": "832-207-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 N KNOLL APT 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402253",
            "telephone_number": "832-207-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENGOT",
        "first_name": "PETRINE",
        "middle_name": "MANYI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "308956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia T Menezes, MD
• Yan Meng, M.D.
• Susan C Mengden, PH.D.
• Maryanne Menge
• Madeleine Mengler, RBT
• Barry J. Menick, M.D.
• Caitlin Doris Menig
• Jolene Menjares
• Elizabeth Christiane Diltz Menking, M.D.
• Bridgit Mennite, MD

• Licensed Vocational Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.