MS. MARIE JEMIE MENDOZA AG ACNP-BC ACCNS-BC NPI 1720457054

NPI Information

NPI: 1720457054
Provider Name: MS. MARIE JEMIE MENDOZA, AG ACNP-BC, ACCNS-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: DALLAS PULMONARY AND CRITICAL CARE, PA

PECOS Registration: Yes

Address:
1441 N BECKLEY AVE
DALLAS, TX
ZIP 75203
Phone: (214) 947-8181
Get Directions

MS. Marie Jemie Mendoza, AG ACNP-BC, ACCNS-BC is an acute care nurse practitioner in Dallas, TX with 9 years of experience. MS. Marie Jemie Mendoza, AG ACNP-BC, ACCNS-BC NPI is 1720457054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1441 N BECKLEY AVE
DALLAS, TX
ZIP 75203-201
Phone: (214) 947-8181

The NPI 1720457054 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2015 and was last updated on 1/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		AP129028	TEXAS	No
2	363LC0200X	Nurse Practitioner	Critical Care Medicine	AP129028	TEXAS	No
3	363LG0600X	Nurse Practitioner	Gerontology	AP129028	TEXAS	No
4	364SA2100X	Clinical Nurse Specialist	Acute Care	AP129028	TEXAS	No
5	364S00000X	Clinical Nurse Specialist		AP129028	TEXAS	No
6	364SC0200X	Clinical Nurse Specialist	Critical Care Medicine	AP129028	TEXAS	No
7	364SG0600X	Clinical Nurse Specialist	Gerontology	AP129028	TEXAS	No
8	364SA2200X	Clinical Nurse Specialist	Adult Health	AP129028	TEXAS	No
9	363LA2100X	Nurse Practitioner	Acute Care	AP129028	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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