MRS. NANCY DYAN MENDOZA (NPI# 1700124625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700124625 |
| Entity Type | Individual |
| Full Name | MRS. NANCY DYAN MENDOZA |
| Credential | MSW |
| Practice Address |
1210 Waverly Ave Holtsville NY 11742-1122 |
| Practice Telephone | 9174346548 |
| Mailing Telephone | 9174346548 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881120095 | Nancy Mendoza | Clinical Nurse Specialist | 9801 Weatherford Ave, Lubbock, TX 79423-4462 | 2017-05-08 |
| 1225423536 | Nancy Mendoza | Massage Therapist | 1720 N 14th Ave, Pasco, WA 99301-3529 | 2015-04-02 |
| 1861057697 | Nancy Mendoza | Counselor | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2019-05-07 |
| 1659743169 | Nancy Mendoza | Social Worker | 4343 W Flagler St, Coral Gables, FL 33134-1586 | 2015-10-22 |
| 1942690896 | Nancy Mendoza | Counselor | 299 12th St, Suite A, Marina, CA 93933 | 2015-01-30 |
| 1982941837 | Nancy E Mendoza | Pharmacist | 4370 Thomasson Dr, Naples, FL 34112-6725 | 2013-01-12 |
| Street Address |
1210 WAVERLY AVE |
| City | HOLTSVILLE |
| State | NY |
| Zip Code | 11742-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907210 | Brittany Ann Rachuta | Licensed Practical Nurse | 11 Spiral Rd, Holtsville, NY 11742 | 2020-03-16 |
| 1679075089 | Gertha Therese Benoit-hollis | Nurse Practitioner | 5 Fisk Rd, Holtsville, NY 11742 | 2018-03-01 |
| 1437665031 | Amanda Namorato | Speech-Language Pathologist | 1111 Waverly Ave, Holtsville, NY 11742 | 2017-12-18 |
| 1003363656 | Dana Ann Vincent | Registered Nurse | 355 Plad Boulevard, Holtsville, NY 11742 | 2016-09-01 |
| 1992178792 | Fazila Duman | Social Worker | 98 5th Ave, Holtsville, NY 11742 | 2015-11-03 |
| 1659767648 | Suzana X Sula | Licensed Practical Nurse | 263 Blue Point, Long Island, NY 11742 | 2015-04-07 |
| 1366787707 | Rodolfo Diaz Deoquino Sr. | General Practice | 27 Summerfield Drive, Holtsville, NY 11742 | 2012-12-11 |
| 1154441004 | Barbara Ann De Feo | Nurse Practitioner | 107 West Main St., East Islip, NY 11742 | 2007-03-31 |
| 1013051341 | Maryhaven Center of Hope Inc. | Intermediate Care Facility, Mentally Retarded | 298 Long Island Avenue, Holtsville, NY 11742 | 2007-02-19 |
| 1093861650 | Jessica Arnoux Speech Therapy | Local Education Agency (LEA) | 18 Glen Hollow Drive F5, Holtsville, NY 11742 | 2007-01-26 |
| Find all providers in zip 11742 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518522630 | Christine Marie Cracchiolo | Case Manager/Care Coordinator | 32 Glide Ln, Holtsville, NY 11742-2206 | 2019-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255220 | Nelcy M Garcia De Leon | Case Manager/Care Coordinator | 11 Thamsen Dr, Stony Point, NY 10980-1054 | 2020-11-06 |
| 1003416769 | Mashhura Rofieva | Case Manager/Care Coordinator | 1733 Sheepshead Bay Rd Ste 16, Brooklyn, NY 11235-3743 | 2020-10-30 |
| 1285234369 | David Olmedo | Case Manager/Care Coordinator | 3192 Rawlins Ave, Bronx, NY 10465-1340 | 2020-10-28 |
| 1144829326 | Perel Langsam | Case Manager/Care Coordinator | 14 Jeffrey Pl, Monsey, NY 10952-5702 | 2020-10-20 |
| 1609474295 | Akyra M. Green | Case Manager/Care Coordinator | 11 Dobson Ave, Merrick, NY 11566-4127 | 2020-10-15 |
| 1578161162 | Elizabeth Anna Rubin | Case Manager/Care Coordinator | 3513 Broadway Apt 2l, Astoria, NY 11106-1162 | 2020-10-15 |
| 1033717855 | Sarah Bruck | Case Manager/Care Coordinator | 14 Melnick Dr, Monsey, NY 10952-3328 | 2020-10-14 |
| 1831797091 | Yuliya Levakova | Case Manager/Care Coordinator | 146 Macfarland Ave, Staten Island, NY 10305-4448 | 2020-10-10 |
| 1861009383 | Faith Gibbs | Case Manager/Care Coordinator | 13038 224th St, Laurelton, NY 11413-1244 | 2020-09-29 |
| 1316554074 | Sherry Ann Brion | Case Manager/Care Coordinator | 126 W Chemung St Ste 103, Painted Post, NY 14870-1300 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | HOLTSVILLE |
| Zip Code | 11742 |
Please comment or provide details below to improve the information on MRS. NANCY DYAN 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.