Individual provider Active NPI

Ashley Mendoza, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1265040844
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144740 Issued in TX
Practice address
8401 Datapoint Dr Ste 300
San Antonio, TX 78229-5925
Phone
(210) 348-4040
NPI assigned
Jul 20, 2020
Reactivated
Aug 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP144740 TX Primary

Addresses

Primary practice location

8401 Datapoint Dr Ste 300
San Antonio, TX 78229-5925

Mailing address

11806 Plover PL
San Antonio, TX 78221-4457
Phone (210) 269-6142

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referral@vitas.direct.kno2fy.com VITAS HEALTH SERVICES OF TEXAS, P.A.

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1265040844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11806 PLOVER PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782214457",
            "telephone_number": "210-269-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295925",
            "telephone_number": "210-348-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ASHLEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "deactivation_date": "2020-07-28",
        "reactivation_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referral@vitas.direct.kno2fy.com",
            "affiliation": "Y",
            "affiliationName": "VITAS HEALTH SERVICES OF TEXAS, P.A.",
            "address_1": "Crown Sterling Building",
            "address_2": "14651 North Dallas Parkway, Suite 811",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752547476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

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