Individual provider Active NPI

Stephanie Rebecca Mendoza-Ballentine, ND

  • Naturopath
  • Glendale, AZ
National Provider Identifier
1144969973
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
21-1675 Issued in AZ
Practice address
20414 N 51St Dr
Glendale, AZ 85308-9314
Phone
(151) 263-5239
NPI assigned
May 31, 2022
Last updated
May 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 21-1675 AZ Primary

Addresses

Primary practice location

20414 N 51St Dr
Glendale, AZ 85308-9314

Mailing address

5924 Talley CT
N Las Vegas, NV 89081-6670
Phone (702) 927-9641

Other names 1

  • Dr. Stephanie Mendoza Professional name

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

State licenses

LicenseStateTypeSpecialty
21-1675AZMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1144969973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 TALLEY CT",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890816670",
            "telephone_number": "702-927-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20414 N 51ST DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089314",
            "telephone_number": "151-263-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA-BALLENTINE",
        "first_name": "STEPHANIE",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "21-1675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MENDOZA",
            "prefix": "DR.",
            "credential": "ND",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.