Heidi Janette Mendez

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

License

32070806446 Issued in TX

Practice address

8115 N Los Ebanos Rd Ste 4
Alton, TX 78573-1670

Phone

(956) 271-1535

Fax

(956) 271-1533

NPI assigned

Jul 23, 2019

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

State licenses

Practice roles

Locations

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.

• Primeros Pasos Rehab, LLC

  • Speech-Language Pathologist
  • Alton, TX
  • NPI 1760039622
  NPD Authorized official

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1366095911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 N LOS EBANOS RD STE 4",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785731670",
            "telephone_number": "956-478-1589",
            "fax_number": "956-271-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 N LOS EBANOS RD STE 4",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785731670",
            "telephone_number": "956-271-1535",
            "fax_number": "956-271-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "HEIDI",
        "middle_name": "JANETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "TX",
            "license": "32070806446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elainie Marlene Martinez, PHARMD
• Jerry Martinez, COTA
• Marco A Martinez, PA
• Medical Mart & DME
• Melissa Isabel Medina, LPC
• Mi Hermoso Valle Adult Day Care, L.L.C.
• Anna L Mills
• Frank A Mora, D.D.S.
• Rosa M Mora, D.D.S.
• Elizabeth Morales, SLP

• All providers in Alton, TX
• Pediatric Rehabilitation Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.