Individual provider Active NPI

Mercadies Joelle McDonald, RECEPTIONIST

  • Adult Companion
  • Big Bear Lake, CA
National Provider Identifier
1124692520
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Practice address
41945 Big Bear Blvd Ste 222
Big Bear Lake, CA 92315
Phone
(909) 866-5070
NPI assigned
May 19, 2021
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X CA Primary
Community Health Worker 172V00000X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

41945 Big Bear Blvd Ste 222
Big Bear Lake, CA 92315

Mailing address

PO Box 6295
Big Bear Lake, CA 92315-6295
Phone (909) 733-3428

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Mercadies.McDonald@Lsssc.org Health Information Exchange (HIE)
Direct Messaging Address Mercadies.McDonald@Lsssc.org Health Information Exchange (HIE)

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

Interoperability endpoints

  • Direct secure messaging: mercadies.mcdonald@lsssc.org

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1124692520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6295",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923156295",
            "telephone_number": "909-733-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41945 BIG BEAR BLVD STE 222",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "telephone_number": "909-866-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MERCADIES",
        "middle_name": "JOELLE",
        "credential": "RECEPTIONIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mercadies.McDonald@Lsssc.org",
            "affiliation": "N",
            "endpointDescription": "My work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "41945",
            "city": "Big Bear Lake",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mercadies.McDonald@Lsssc.org",
            "affiliation": "N",
            "endpointDescription": "My work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "41945",
            "city": "Big Bear Lake",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Big Bear Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.