John Eldon Mendenhall, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

142454 Issued in OH

Practice address

1250 State Route 756
Felicity, OH 45120-9638

Phone

(513) 659-8235

NPI assigned

Aug 5, 2011

Last updated

Aug 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1104105345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 STATE ROUTE 756",
            "city": "FELICITY",
            "state": "OH",
            "postal_code": "451209638",
            "telephone_number": "513-659-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 STATE ROUTE 756",
            "city": "FELICITY",
            "state": "OH",
            "postal_code": "451209638",
            "telephone_number": "513-659-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDENHALL",
        "first_name": "JOHN",
        "middle_name": "ELDON",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "142454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthsource of Ohio, Inc. (HealthSource Felicity)
• Hometown Health Urgent Care, LLC
• Chad Thomas Lewis
• Regina Terri Long, LPN
• Casey Malicoat, APRN,FNP-C
• Elexis Kayleene Moore
• Elaine Muncy
• Megan Elaine Muncy
• Darlene Proffitt
• Psychiatry LLC

• Licensed Practical Nurse in Felicity, OH
• Providers in Felicity, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.