Individual provider Active NPI

Mary Kathleen Mendenhall, R.N.

  • Psychiatric/Mental Health Registered Nurse
  • Wenatchee, WA
National Provider Identifier
1023428356
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN 60206116 Issued in WA
Practice address
640 S Mission St
Wenatchee, WA 98801-3050
Phone
(509) 662-6761
Fax
(509) 888-5537
NPI assigned
May 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN 60206116 WA Primary

Addresses

Primary practice location

640 S Mission St
Wenatchee, WA 98801-3050

Mailing address

640 S Mission St
Wenatchee, WA 98801-3050
Phone (509) 662-6761

Other identifiers 1

IdentifierTypeStateIssuer
RN 60206116OtherWAWASHINGTON STATE DEPARTMENT OF HEALTH (NURSING LICENSE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 60206116WAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Family & Child Service Past Accepting new patients
Catholic Charities of the Diocese of Yakima Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1023428356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S MISSION ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013050",
            "telephone_number": "509-662-6761",
            "fax_number": "509-888-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S MISSION ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013050",
            "telephone_number": "509-662-6761",
            "fax_number": "509-888-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDENHALL",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Miss",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN 60206116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH (NURSING LICENSE)",
            "identifier": "RN 60206116",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.