Melliti Medical Group PLLC

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

MELLITI MEDICAL GROUP PLLC

Practice address

9708 Gilespie St Ste 109
Las Vegas, NV 89183-7614

Phone

(813) 389-1267

Fax

(702) 405-0625

NPI assigned

Apr 7, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Jenessia Marie Melliti, FNP-BCNPI 1578145033

Title

Ceo/Founder

Phone

(813) 389-1267

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Saifallah Melliti

  • Audiologist
  • Las Vegas, NV
  • NPI 1780167700
  Medicare reassignment NPD
• Jenessia Marie Melliti, APRN-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1578145033

  Family

  NPD Authorized official

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1932894656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9708 GILESPIE ST STE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837614",
            "telephone_number": "813-389-1267",
            "fax_number": "702-405-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9708 GILESPIE ST STE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837614",
            "telephone_number": "813-389-1267",
            "fax_number": "702-405-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELLITI MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "MELLITI",
        "authorized_official_first_name": "JENESSIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "813-389-1267",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daimaris Mella Perez
• Jay Dee Mellette, ATC
• Broderick Wayne Melling, DMD
• Kristin Mellinger, BCBA
• Raymond John Mellinger, PT, DPT
• Jenessia Marie Melliti, APRN-BC
• Saifallah Melliti
• Stephanie L Mello, APRN, PMHNP
• April Leigh Mellor
• Hannah Melly, RN

• All providers in Las Vegas, NV
• Audiologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.