Active NPI
Kaylee Marie Mullennix, B.S
- Electroneurodiagnostic Specialist/Technologist
- Las Vegas, NV
National Provider Identifier
1730774746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 7455 W Washington Ave Ste 302
Las Vegas, NV 89128-4340 - Phone
- (855) 864-4322
- NPI assigned
- Mar 2, 2021
- 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 |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
7455 W Washington Ave Ste 302
Las Vegas, NV 89128-4340
Mailing address
2830 W Lelehuna PL
Haiku, HI 96708-5134
Phone (616) 633-9962
Other practice location 1
1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (855) 864-4322
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
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monitoring Associates LLC | Electroneurodiagnostic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Electrodiagnostic Medicine Physician
- Las Vegas, NV
- NPI 1174916522
Electroneurodiagnostic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1730774746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 W LELEHUNA PL",
"city": "HAIKU",
"state": "HI",
"postal_code": "967085134",
"telephone_number": "616-633-9962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7455 W WASHINGTON AVE STE 302",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891284340",
"telephone_number": "855-864-4322"
}
],
"practiceLocations": [
{
"address_1": "1301 Punchbowl St",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968132402",
"country_code": "US",
"telephone_number": "855-864-4322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLENNIX",
"first_name": "KAYLEE",
"middle_name": "MARIE",
"credential": "B.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-02",
"last_updated": "2021-03-02",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.