Active NPI
Marvella Mattmiller Melnick, RN
- Registered Nurse
- Cabot, AR
National Provider Identifier
1689988735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R11269
- Practice address
- 1 Sarah LN
Cabot, AR 72023-9438 - Phone
- (501) 843-5046
- NPI assigned
- Jul 31, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R11269 | AR | Primary |
Addresses
Primary practice location
1 Sarah LN
Cabot, AR 72023-9438
Mailing address
10110 W Markham St
Little Rock, AR 72205-2173
Phone (501) 227-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R11269 | AR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280534400000",
"number": "1689988735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10110 W MARKHAM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722052173",
"telephone_number": "501-227-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SARAH LN",
"city": "CABOT",
"state": "AR",
"postal_code": "720239438",
"telephone_number": "501-843-5046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELNICK",
"first_name": "MARVELLA",
"middle_name": "MATTMILLER",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-31",
"last_updated": "2010-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R11269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cabot, AR
- Medical Necessities of Cabot, Inc
- Vanessa Mehlman, H.I.S
- Brooke Victoria Meier, LAC
- Lindsay Meins, LCSW
- Melanie Sterling & Assoc LLC
- Amy Mendenhall
- Jason A Merrick, MD
- Kristi Dale Merrick, LAC
- Merritt Ventures, LLC, Dba: Lice Clinics of America - Little Rock
- Milestones Pediatric Therapy Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.