Active NPI
Josue B Mendoza
- Family Nurse Practitioner
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN0000172143
- Practice address
- 2501 Citico Ave
Chattanooga, TN 37404-1127 - Phone
- (423) 697-2000
- Fax
- (423) 697-2118
- NPI assigned
- Nov 8, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN0000172143 | TN | Primary |
Addresses
Primary practice location
2501 Citico Ave
Chattanooga, TN 37404-1127
Mailing address
9500 Robinson Farm Rd
Ooltewah, TN 37363-6881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
725 Glenwood Dr
Suite E500
Chattanooga, TN 37404-1138
Phone (423) 495-2635
Hospital & facility affiliations
- Memorial Healthcare System, Inc
- Commonspirit-Memorial Hospital-North Georgia
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000172143 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners Foundation Inc | Current | Accepting new patients | |
| Memorial Health Partners Foundation, Inc | Current | Accepting new patients |
Locations
2501 Citico Ave
Chattanooga, TN 37404
Phone (423) 697-2318
1949 Gunbarrel Rd
Ste 206
Chattanooga, TN 37421
Phone (423) 495-4345
725 Glenwood Dr
Ste E500
Chattanooga, TN 37404
Phone (423) 495-2635
5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586
Interoperability endpoints
- jmendoza132039@direct.stlukeshealth.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
-
- Rural Health Clinic/Center
- La Fayette, GA
- NPI 1760632780
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hixson, TN
- NPI 1083778633
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1255428736
-
- General Acute Care Hospital
- Ringgold, GA
- NPI 1356860621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513036800000",
"number": "1467965707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 ROBINSON FARM RD",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 CITICO AVE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374041127",
"telephone_number": "423-697-2000",
"fax_number": "423-697-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "JOSUE",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-08",
"last_updated": "2017-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "RN0000172143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
- Memorial Heart Institute, LLC
- Memories Made at Home Homecare LLC
- Emmanuela Mena, DDS
- Nadia Teresa Menaj, NP
- Teresa Ann Mendez, APRN
- Mental Health Centers & Clinics of Tennessee
- Mental Health Centers & Clinics of Tennessee
- Mental Health Therapy Center - Chattanooga, LLC
- Luke Grimes Mentzer, PA-C
- Aveliza Mercado, LAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.