Melodie G Mantooth Null, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

17934 Issued in NV

Practice address

250 Pilot Rd Ste 250
Las Vegas, NV 89119-3514

Phone

(702) 982-3292

Fax

(702) 982-5286

NPI assigned

May 14, 2024

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Solace Pediatric Healthcare Nursing Services, NV, LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1780101378
  NPD

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1710736715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 CASEY DR APT 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201104",
            "telephone_number": "702-833-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PILOT RD STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193514",
            "telephone_number": "702-982-3292",
            "fax_number": "702-982-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTOOTH NULL",
        "first_name": "MELODIE",
        "middle_name": "G",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "17934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Edward Manthei, D.O.
• Brooke Mantie, APRN FNP-BC
• Ana Miriam Mantilla, ND
• Richard C Mantin, MD
• Ashton Kirsten Mantolino, RN
• Brian Paul Mantor, DMD, MSD
• Mantro Mobile Imaging LLC
• Mantro Mobile Imaging LLC
• Jacob McKay Mantz, PHARM.D
• Jeanine Manubay, PT, DPT

• Licensed Practical Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Licensed Practical Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.