MS. TRACEY ANN MENDEZ (NPI# 1073855839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073855839 |
| Entity Type | Individual |
| Full Name | MS. TRACEY ANN MENDEZ |
| Credential | LPN |
| Practice Address |
175 Kibbie Lake Rd Constantia NY 13044-2760 |
| Practice Telephone | 3157084316 |
| Mailing Telephone | 3157084316 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 214879-1 | NY | Nursing Service Providers |
| Street Address |
175 KIBBIE LAKE RD |
| City | CONSTANTIA |
| State | NY |
| Zip Code | 13044-2760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710129028 | Melissa Marie Mendez | Licensed Practical Nurse | 175 Kibbie Lake Rd, Constantia, NY 13044-2760 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407177256 | Francine Louise Lubeck | Licensed Practical Nurse | 145 Kibbie Lake Rd, Constantia, NY 13044 | 2010-06-16 |
| 1801194428 | Lisa M. Hild | Speech-Language Pathologist | 1683 State Route 49, Constantia, NY 13044-2602 | 2011-03-06 |
| 1184998841 | Patrica Wilckens | Registered Nurse | 1683 State Route 49, Constantia, NY 13044-2602 | 2012-02-28 |
| 1184919920 | Susan Sweet | Occupational Therapist | 1683 State Route 49, Constantia, NY 13044-2602 | 2011-06-09 |
| 1952741563 | Rehabresources | Skilled Nursing Facility | 307 Lower Rd, Constantia, NY 13044-2614 | 2013-06-27 |
| 1235566514 | Brian Allen | Community Health Worker | 307 Lower Rd, Constantia, NY 13044-2614 | 2013-10-02 |
| 1932384534 | Kathleen Lynn Reagan | Registered Nurse | 75 West Rd, Constantia, NY 13044-2616 | 2008-01-02 |
| 1376813345 | Linda Carol Machovec | Registered Nurse | 72 Lower Rd, Constantia, NY 13044-2619 | 2012-01-09 |
| 1033254719 | Judith Kathryn Laska-kulba | Chiropractor | 1497 State Route 49, Constantia, NY 13044-2718 | 2007-02-21 |
| 1295045961 | Daniel T Pone | Physical Therapist | 14 Sunset Bay Rd, Constantia, NY 13044-2767 | 2010-10-15 |
| Find all providers in zip 13044 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184055865 | Pamela Kittell | Licensed Practical Nurse | 273 Tanner Rd, Constantia, NY 13044-3723 | 2013-12-06 |
| 1407177256 | Francine Louise Lubeck | Licensed Practical Nurse | 145 Kibbie Lake Rd, Constantia, NY 13044 | 2010-06-16 |
| 1710129028 | Melissa Marie Mendez | Licensed Practical Nurse | 175 Kibbie Lake Rd, Constantia, NY 13044-2760 | 2009-04-01 |
| 1639353709 | Jessica Marie Lewis | Licensed Practical Nurse | 473 County Route 23, Constantia, NY 13044-3720 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | CONSTANTIA |
| Zip Code | 13044 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.