Individual provider Active NPI

Frankie Mendivil

  • Massage Therapist
  • Surprise, AZ
National Provider Identifier
1326743311
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1078879 Issued in AZ
Practice address
16995 W Greenway Rd Ste 102
Surprise, AZ 85388-9609
Phone
(623) 433-8895
NPI assigned
Mar 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 1078879 AZ Primary

Addresses

Primary practice location

16995 W Greenway Rd Ste 102
Surprise, AZ 85388-9609

Mailing address

16995 W Greenway Rd Ste 102
Surprise, AZ 85388-9609
Phone (623) 433-8895

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

State licenses

LicenseStateTypeSpecialty
1078879AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenway303 Chiropractic P.C. CurrentSince Apr 6, 2023 Accepting new patients

Locations

16995 W Greenway Rd
Ste 102
Surprise, AZ 85388
Phone (623) 433-8895

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1326743311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16995 W GREENWAY RD STE 102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853889609",
            "telephone_number": "623-433-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16995 W GREENWAY RD STE 102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853889609",
            "telephone_number": "623-433-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIVIL",
        "first_name": "FRANKIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "1078879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

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

Verify at the official NPI Registry.