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KRISTIN MEDALLO
NPI 1114749363
Home Health in Las Vegas, NV

Active since October 29, 2024
231 MISSION NEWPORT LN APT 208, LAS VEGAS, NV 89107(808) 382-0800 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristin Medallo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTIN MEDALLO (NPI 1114749363) is an individual home health provider in Las Vegas, Nevada, licensed in Nevada (877860) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1114749363
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameKRISTIN MEDALLO
Location Address231 MISSION NEWPORT LN APT 208Las Vegas, NV 89107-2786
Mailing Address231 Mission Newport Ln Apt 208Las Vegas, NV 89107-2786 · (808) 382-0800
Phone(808) 382-0800
Sole ProprietorYes
Enumeration DateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1114749363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in NV · 877860
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
231 MISSION NEWPORT LN APT 208, Las Vegas, NV 89107
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Medallo's NPI number?

The NPI number for Kristin Medallo is 1114749363. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Where is Kristin Medallo located?

Kristin Medallo practices at 231 Mission Newport Ln Apt 208, Las Vegas, NV 89107. The listed phone number is (808) 382-0800.

What is Kristin Medallo's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Kristin Medallo was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.