Active NPI
Kelly Elizabeth Mendez, RN
- Registered Nurse
- Bellevue, NE
National Provider Identifier
1326720137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 61063
- Practice address
- 2600 Arboretum Dr
Bellevue, NE 68005-3501 - Phone
- (402) 293-4000
- NPI assigned
- Aug 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 61063 | NE | Primary |
Addresses
Primary practice location
2600 Arboretum Dr
Bellevue, NE 68005-3501
Mailing address
9961 S 106TH St
Papillion, NE 68046-5688
Phone (402) 660-1827
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61063 | NE | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1326720137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9961 S 106TH ST",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680465688",
"telephone_number": "402-660-1827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 ARBORETUM DR",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680053501",
"telephone_number": "402-293-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "KELLY",
"middle_name": "ELIZABETH",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-01",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "61063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.