Organization Active NPI

Maria Mendoza Rd, LLC

  • Registered Dietitian
  • Austin, TX
National Provider Identifier
1144784752
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
MARIA MENDOZA RD, LLC
Doing business as
Mendoza Nutrition Therapy
Practice address
3432 Greystone Dr Ste 120
Austin, TX 78731-2371
Phone
(512) 967-3388
NPI assigned
Jan 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Maria Mendoza, MS, RD, LD, CDCESNPI 1497180665
Title
Registered Dietitian
Phone
(512) 967-3388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

3432 Greystone Dr Ste 120
Austin, TX 78731-2371

Mailing address

3432 Greystone Dr Ste 120
Austin, TX 78731-2371
Phone (512) 967-3388

Other names 1

  • Mendoza Nutrition Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210716000962 TX Part B Supplier - Clinic/Group Practice 0446652150 Receives reassigned benefits from 6 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

3432 Greystone Dr
Ste 109
Austin, TX 78731
Phone (512) 609-0651

2423 Earl Rudder Fwy S
Ste 400
College Station, TX 77845
Phone (956) 607-0001

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1144784752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 GREYSTONE DR STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787312371",
            "telephone_number": "512-967-3388",
            "fax_number": "844-288-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 GREYSTONE DR STE 120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787312371",
            "telephone_number": "512-967-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA MENDOZA RD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "512-967-3388",
        "authorized_official_credential": "MS, RD, LD, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mendoza Nutrition Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.