Individual provider Active NPI

Jenny Lopez Mendez, CC

  • Health & Wellness Coach
  • Homestead, FL
National Provider Identifier
1215714498
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
18820 Issued in FL
Practice address
600 NE 22ND Ter Ste 304
Homestead, FL 33033-4715
Phone
(844) 665-4827
Fax
(866) 255-3886
NPI assigned
Sep 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 18820 FL Primary

Addresses

Primary practice location

600 NE 22ND Ter Ste 304
Homestead, FL 33033-4715

Mailing address

600 NE 22ND Ter Ste 304
Homestead, FL 33033-4715
Phone (844) 665-4827

Other names 1

  • Ms. Jenny Lopez Former 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
18820FLMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1215714498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NE 22ND TER STE 304",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330334715",
            "telephone_number": "844-665-4827",
            "fax_number": "866-255-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NE 22ND TER STE 304",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330334715",
            "telephone_number": "844-665-4827",
            "fax_number": "866-255-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ MENDEZ",
        "first_name": "JENNY",
        "name_prefix": "Ms.",
        "credential": "CC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "FL",
            "license": "18820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "LOPEZ",
            "prefix": "MS.",
            "credential": "CARE COACH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.