Shirley A Mendes, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

005194 Issued in CT

Practice address

270 Mohegan Avenue
Warnshuis Building
New London, CT 06320-4125

Phone

(860) 439-2275

Fax

(860) 439-5430

NPI assigned

Jan 26, 2006

Sex

Female

Sole proprietor

Yes

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

Nurse Practitioner

State licenses

Practice roles

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.

• Hartford Healthcare Medical Group Specialists, PLLC

  • Surgery Physician
  • Hartford, CT
  • NPI 1023584216
  NPD (past)
• Hartford Healthcare Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Farmington, CT
  • NPI 1720140221
  NPD (past)
• Milford Regional Physician Group, Inc.

  • Sports Medicine (Family Medicine) Physician
  • Medway, MA
  • NPI 1508681321
  NPD (past)
• Milford Regional Physician Group, Inc.

  • Internal Medicine Physician
  • Milford, MA
  • NPI 1902856024
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543104000000",
    "number": "1295706554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 MOHEGAN AVENUE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204125",
            "telephone_number": "860-439-2275",
            "fax_number": "860-439-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 MOHEGAN AVENUE",
            "address_2": "WARNSHUIS BUILDING",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204125",
            "telephone_number": "860-439-2275",
            "fax_number": "860-439-5430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 Lowes Way",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "CT",
            "postal_code": "06374",
            "country_code": "US",
            "telephone_number": "860-317-4030",
            "fax_number": "860-317-4031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 Mohegan Avenue",
            "address_2": "Connecticut College Student Health Services",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063204125",
            "country_code": "US",
            "telephone_number": "860-439-2275",
            "fax_number": "860-439-5430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 Hartford Tpke Ste A",
            "address_purpose": "LOCATION",
            "city": "Vernon",
            "state": "CT",
            "postal_code": "060664847",
            "country_code": "US",
            "telephone_number": "860-896-4877",
            "fax_number": "860-896-4876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDES",
        "first_name": "SHIRLEY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2018-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "005194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295706554",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Gabriela Cabral McMicken
• Merrilyn McNatt, APRN
• Marci A. McNicol, APRNCNS BC
• Donna Elizabeth Medina, LADC
• Patricia A Medling, LCSW
• Lindsey Ann Mendez
• Chelsea Mendonca, MD
• Aravind Balagopalan Menon, D.M.D.
• Theresa Helene Meotti, MD
• Dana Merise, LPCA

• Family Nurse Practitioner in New London, CT
• Providers in New London, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2018; 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.