Active NPI
Brittney M. Mengistu, M.D.
- Pediatrics Physician
- Henderson, NV
National Provider Identifier
1740589316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 16082
- Practice address
- 10001 S Eastern Ave Ste 310
Henderson, NV 89052-3908 - Phone
- (702) 566-2400
- NPI assigned
- Mar 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 16082 | NV | Primary |
Addresses
Primary practice location
10001 S Eastern Ave Ste 310
Henderson, NV 89052-3908
Mailing address
2040 W Charleston Blvd
Ste 402
Las Vegas, NV 89102-2227
Phone (702) 671-2263
Other practice location 1
2040 W Charleston Blvd
Ste 402
Las Vegas, NV 89102-2227
Phone (702) 671-2263
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unsom Multi-Spec GRP Pract S | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- brittney.mengistu.p1@direct.nevadahealthcenters.nextgenshare.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1740589316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 W CHARLESTON BLVD",
"address_2": "STE 402",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022227",
"telephone_number": "702-671-2263",
"fax_number": "702-671-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10001 S EASTERN AVE STE 310",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523908",
"telephone_number": "702-566-2400"
}
],
"practiceLocations": [
{
"address_1": "2040 W Charleston Blvd",
"address_2": "Ste 402",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891022227",
"country_code": "US",
"telephone_number": "702-671-2263",
"fax_number": "702-671-2333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENGISTU",
"first_name": "BRITTNEY",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "16082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.