Arianne Angela N Victoriano Mendoza, MS, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ6617 Issued in FL

Practice address

1001 Mar Walt Dr # 77
Fort Walton Beach, FL 32547-6780

Phone

(850) 863-5174

NPI assigned

Apr 24, 2014

Last updated

Apr 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Arianne Angela N Mendoza Lemire Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1043630445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 SW 34TH ST APT 1204",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326087554",
            "telephone_number": "352-346-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAR WALT DR # 77",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476780",
            "telephone_number": "850-863-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ARIANNE ANGELA N",
        "middle_name": "VICTORIANO",
        "credential": "MS, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ6617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIANNE ANGELA N",
            "last_name": "LEMIRE",
            "middle_name": "MENDOZA",
            "credential": "MS, CF-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren Broussard Melancon
• Daria Melnik
• Viktoriia Melnykova, DPT
• Dina Mendes
• Kimberly Claire Mendez
• William Mendoza, MD
• Mental Health Association of Okaloosa & Walton Counties, Inc.
• Benjamin Gavin Merckle, C.S.F.A
• Arthur Merkle, DMD
• Carol B Merkle, DMD

• Speech-Language Pathologist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.