Wanda Mendez, IDMT-PARAMEDIC

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

119 Terry Ave
Hurlburt Field, FL 32544

Phone

(609) 284-8410

NPI assigned

Apr 17, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1306103254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 BOATNER RD",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421302",
            "telephone_number": "850-883-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TERRY AVE",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "32544",
            "telephone_number": "609-284-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "WANDA",
        "credential": "IDMT-PARAMEDIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-17",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Conrad McCall, RDN
• Cristina Saxon McCann, RD, LDN, MS
• Paul C McCarthy, IDMT
• Robert Matthew McDaniel
• Lisa McFarland, IDMT
• Daniel B Michel, PSY.D.
• Kyle Berghorn Miller, RPAC
• Scott Miller, APRN PMHNP-BC
• Brian Milner
• Jennifer Minarcik

• Independent Duty Medical Technicians in Hurlburt Field, FL
• Providers in Hurlburt Field, FL by specialty
• Independent Duty Medical Technicians in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.