Rebecca G Mendoza, APRN/CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R0934105 Issued in MN

Practice address

1576 Minnehaha Ave W
Saint Paul, MN 55104-1208

Phone

(651) 698-0891

Fax

(651) 644-2609

NPI assigned

Apr 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Menopause Center of Minnesota

  • Gynecology Physician
  • St Paul, MN
  • NPI 1417127903
  NPD
• Motherhood to Menopause Midwifery Care, LLC

  • Advanced Practice Midwife
  • Saint Paul, MN
  • NPI 1861080103
  NPD
• Allina Health System

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1184686016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 MINNEHAHA AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041208",
            "telephone_number": "651-698-0891",
            "fax_number": "651-644-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 MINNEHAHA AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041208",
            "telephone_number": "651-698-0891",
            "fax_number": "651-644-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "REBECCA",
        "middle_name": "G",
        "credential": "APRN/CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R0934105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213525600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles H. Mendes
• Paul Michael Mendes, D.D.S.
• Alejandro Mendez, MD
• Sara Frances Mendez
• Nikolai Peter Mendonca, MD
• Adisu Atenafu Mengistu
• Amanda Lea Menk, BS
• Theresa Menke, RDN
• Trisha Menke, N.P.
• Kimberly Menne

• Nurse Practitioner in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.