BLANCA MENDOZA (NPI# 1528574209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528574209 |
| Entity Type | Individual |
| Full Name | BLANCA MENDOZA |
| Practice Address |
2708 Mazon Ave Gallup NM 87301-4671 |
| Practice Telephone | 5058700479 |
| Mailing Telephone | 5058700479 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144661810 | Blanca Mendoza | Behavioral Analyst | 4928 E Clinton Way, Suite 105, Fresno, CA 93727-1526 | 2013-07-10 |
| 1841571189 | Blanca Esmeralda Mendoza | Marriage & Family Therapist | 6833 Stockton Blvd, Suite 485, Sacramento, CA 95823-2372 | 2011-08-31 |
| Street Address |
2708 MAZON AVE |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-4671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962817155 | David Appiah | Adult Companion | 3615 Buckskin Loop Ne, Rio Rancho, NM 87144-1445 | 2014-06-25 |
| 1871929216 | Erica Denise Perry | Adult Companion | 7215 Jalisco Rd Nw, Albuquerque, NM 87114-4564 | 2013-09-17 |
| 1912233636 | Carolyna Veronica Aragon | Adult Companion | 205 General Stilwell St Ne, Apt. D, Albuquerque, NM 87123-2543 | 2009-10-30 |
| 1629304159 | Catherine A River | Adult Companion | 12300 Cougar Ln Se, Albuquerque, NM 87123-3527 | 2009-10-17 |
Please comment or provide details below to improve the information on BLANCA MENDOZA.
| 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.