Amanda Mendez, L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131001466 Issued in VA

Practice address

10701 Main St
Fairfax, VA 22030-6904

Phone

(703) 273-7705

NPI assigned

Dec 16, 2015

Last updated

Dec 16, 2015By the provider in NPPES

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

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1447615547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 WASHINGTON BLVD",
            "address_2": "APT 203W",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222014773",
            "telephone_number": "352-328-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306904",
            "telephone_number": "703-273-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131001466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Melville, PSY.D.
• Jacob Melvin, PTA
• Mena Home Healthcare Services, LLC
• Richard Scott Mendelsohn, DPM
• Karen Mendez Gomez, LPC
• Claudia Mendez
• Kevin Jonelle Mendez, DC
• Sonia Mendoza
• Tiffany Ann Pastors Mendoza, FNP
• Mental Health Services En Espanol LLC (Victoria Transcultural Clinical Center LLC)

• Occupational Therapy Assistant in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.