Elizabeth Macedo Mendes, L.P.N

Primary specialty

Child Mental Illness Respite CareTaxonomy code 385HR2055X

License

58699 Issued in MA

Practice address

190 Lenox St
Norwood, MA 02062-3416

Phone

(781) 234-8212

NPI assigned

Jan 4, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elizabeth Macedo Teixeira Professional name

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": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1487958666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 RAYMOND ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027232823",
            "telephone_number": "508-974-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 LENOX ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623416",
            "telephone_number": "781-234-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDES",
        "first_name": "ELIZABETH",
        "middle_name": "MACEDO",
        "credential": "L.P.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "MA",
            "license": "58699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780791467",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "TEIXEIRA",
            "middle_name": "MACEDO",
            "credential": "L.P.N",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Child Mental Illness Respite Care in Norwood, MA
• Providers in Norwood, MA by specialty
• Child Mental Illness Respite Care in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.