Lisbeth Mendoza Vega

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

873940 Issued in NV

Practice address

417 Foxvale Ave
North Las Vegas, NV 89032-6150

Phone

(702) 619-1859

NPI assigned

Aug 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1265109912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 E FLAMINGO RD STE H",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215208",
            "telephone_number": "725-251-3854",
            "fax_number": "725-780-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 FOXVALE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890326150",
            "telephone_number": "702-619-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA VEGA",
        "first_name": "LISBETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NV",
            "license": "873940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baron Leary Mendiola
• Daniela Mendiola
• Angela Mendivil
• Grency Mendoza Ortiz
• Luis Emmanuel Mendoza Poqui
• Caitlynn Mendoza
• Jaime H Mendoza
• Raquel Mendoza
• Yaoska Mendoza
• Rebecca Anne Menge, RD, CDE

• Home Health Registered Nurse in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Home Health Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.