Erika Mendoza-Rodriguez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN257132 Issued in GA

Practice address

6158 Highway 92
Suite 101
Acworth, GA 30102

Phone

(770) 928-8450

Fax

(770) 928-8452

NPI assigned

Aug 2, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

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

Practice roles

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

• Clinica Santa Maria 2, LLC

  • Family Medicine Physician
  • Acworth, GA
  • NPI 1871934323
  NPD (past)
• Clinica Santa Maria LLC

  • Health Service Clinic/Center
  • Acworth, GA
  • NPI 1255600565

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104340041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6158 HIGHWAY 92 STE 101",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301022332",
            "telephone_number": "770-928-8450",
            "fax_number": "770-928-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6158 HIGHWAY 92",
            "address_2": "SUITE 101",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "30102",
            "telephone_number": "770-928-8450",
            "fax_number": "770-928-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA-RODRIGUEZ",
        "first_name": "ERIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN257132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikaela Medlin
• John Robert Meek, DMD
• Mel Optical LLC
• Amanda Melville, CF-SLP
• Stephanie Mendez
• Victoria N Merkel, RPH
• Jeffrey S. Messina, P.T.
• Mia Wolfrey, LCSW (Mimi Love and Consultants)
• Midnight Rose, LLC (AbbyCare)
• Samuel Arthur Mielcarski, PT

• Family Nurse Practitioner in Acworth, GA
• Providers in Acworth, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.