JONATHAN OMAR MENDOZA (NPI# 1639492945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639492945 |
| Entity Type | Individual |
| Full Name | JONATHAN OMAR MENDOZA |
| Credential | A.P.N. |
| Practice Address |
2315 W Ben White Blvd Austin TX 78704-7524 |
| Practice Telephone | 5123265440 |
| Practice Fax Number | 5123268660 |
| Mailing Telephone | 5123265440 |
| Mailing Fax Number | 5123268660 |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2014-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 11344 | TX | Chiropractic Providers |
| Y | 363L00000X | Nurse Practitioner | AP125975 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782364 | Jonathan Carlos Mendoza | Behavior Technician | 1025 Atlantic Ave Ste 101, Alameda, CA 94501-1188 | 2020-02-19 |
| 1760942742 | Jonathan David Mendoza | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2019-03-25 |
| 1063914968 | Jonathan F Mendoza | Specialist/Technologist | 108 N Coopers Hawk Way, Palm Coast, FL 32164-2312 | 2018-03-06 |
| Street Address |
2315 W BEN WHITE BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-7524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598745317 | Pain Care Physicians, Pa | Physical Medicine & Rehabilitation | 2315 W Ben White Blvd, Austin, TX 78704-7524 | 2006-01-18 |
| 1679065445 | Amisha J. Amin | Nurse Practitioner | 2315 W Ben White Blvd, Austin, TX 78704-7524 | 2018-06-06 |
| 1376952457 | Kimberly Michelle Blum | Clinical Nurse Specialist | 2315 W Ben White Blvd, Austin, TX 78704-7524 | 2014-08-04 |
| 1023432051 | Cynthia Velasquez | Clinical Nurse Specialist | 2315 W Ben White Blvd, Austin, TX 78704-7524 | 2014-02-11 |
| 1548587553 | Bennjamin Duane Fronk | Anesthesiology | 2315 W Ben White Blvd, Austin, TX 78704-7524 | 2010-04-29 |
| 1487884664 | Jason Edwin Carroll | Anesthesiology | 2315 W Ben White Blvd, Austin, TX 78704-7524 | 2009-07-21 |
| 1992716237 | Anand Joshi | Physical Medicine & Rehabilitation | 2315 W Ben White Blvd, Austin, TX 78704-7524 | 2006-08-11 |
| 1396784815 | Linda Ornelas Wilson | Specialist | 2315 W Ben White Blvd, Austin, TX 78704-7524 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1982201281 | Alison Conway | Nurse Practitioner | 2900 S 1st St Apt 123, Austin, TX 78704-6368 | 2020-10-08 |
| 1629680525 | Elizabeth Britt Dufrene | Nurse Practitioner | 8102 Isaac Pryor Dr, Austin, TX 78749-1863 | 2020-08-21 |
| 1679105258 | Karen Troylyn Karnaky | Nurse Practitioner | 806 West Ave, Austin, TX 78701-2208 | 2020-02-11 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1457904401 | Megan Grace Berard | Nurse Practitioner | 3801 N Lamar Blvd Suite 300, Austin, TX 78756-4080 | 2019-07-18 |
| 1457825747 | Cecilia Joe Davis | Nurse Practitioner | 3410 Far West Blvd Ste 110, Austin, TX 78731-3187 | 2019-01-20 |
| 1811406192 | Msh Diamondback Health Services LLC | Nurse Practitioner | 16219 Ranch Road 620, Austin, TX 78717 | 2017-09-29 |
| 1023536414 | Alyssa Evens | Nurse Practitioner | 300 E Highland Mall Blvd Ste 1a, Austin, TX 78752-3746 | 2017-09-06 |
| 1710340963 | Kimberly Ellison | Nurse Practitioner | 1400 N. Ih 35; Ste 300, Seton Surgical Group, Austin, TX 78701 | 2016-04-04 |
| Find all providers in AUSTIN | ||||
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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.