Individual provider Active NPI

Victoria Layne Mendoza, RN

  • Registered Nurse
  • Columbus, OH
National Provider Identifier
1124792882
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
479410 Issued in TX
Practice address
644 Chlois LN Ste 410
Columbus, OH 43215-3769
Phone
(956) 243-1244
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 479410 TX Primary

Addresses

Primary practice location

644 Chlois LN Ste 410
Columbus, OH 43215-3769

Mailing address

644 Chlois LN Ste 410
Columbus, OH 43215-3769
Phone (956) 243-1244

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sabrina.blocker@sequelyouthservices.com

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
479410TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1124792882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 CHLOIS LN STE 410",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153769",
            "telephone_number": "956-243-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 CHLOIS LN STE 410",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153769",
            "telephone_number": "956-243-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "VICTORIA",
        "middle_name": "LAYNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "479410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sabrina.blocker@sequelyouthservices.com",
            "affiliation": "N",
            "address_1": "644 Chlois Ln Ste 410",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432153769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.