Adriana Mendoza

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0336706 Issued in CO

Practice address

5 S 1St Ave
Brighton, CO 80601-1603

Phone

(720) 909-6008

NPI assigned

Sep 10, 2021

Sex

Female

Sole proprietor

Yes

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

• Baymark Health Services of Colorado, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brighton, CO
  • NPI 1891273140
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2021.

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1154090322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 SAKATA ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014628",
            "telephone_number": "720-937-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 S 1ST AVE",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806011603",
            "telephone_number": "720-909-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ADRIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CO",
            "license": "0336706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amendoza2@baartprograms.com",
            "affiliation": "N",
            "endpointDescription": "Amendoza2@baartprograms.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5 S 1st Ave",
            "city": "Brighton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "806011603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Medizine Man Inc.
• Medizine Man Inc.
• Mednow Clinics, Inc.
• Medscheck
• Jannae Catherine Mehaffey, DDS
• Arely Mendoza
• Geebellue Mensah, DMD
• Jeffrey Alan Metcalf, MD
• Metro Hearts Host Homes Inc.
• Kathleen Mettel, MS, CCC-SLP

• All providers in Brighton, CO
• Licensed Practical Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.