Active NPI
Mercedes C. Pineda, WHCNP
- Women's Health Nurse Practitioner
- Dallas, TX
National Provider Identifier
1497819569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 427523
- Practice address
- 5201 Harry Hines Blvd
Wish Tubal Clinic
Dallas, TX 75235-7708 - Phone
- (214) 590-5306
- Fax
- (214) 590-2798
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 427523 | TX | Primary |
Addresses
Primary practice location
5201 Harry Hines Blvd
Wish Tubal Clinic
Dallas, TX 75235-7708
Mailing address
PO Box 660599
Dallas, TX 75266-0599
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139457925 | Medicaid | TX | |
| 139457930 | Medicaid | TX | |
| 139457924 | Medicaid | TX | |
| 139457928 | Medicaid | TX | |
| 139457927 | Medicaid | TX | |
| 139457916 | Medicaid | TX | |
| 139457923 | Medicaid | TX | |
| 139457926 | Medicaid | TX | |
| 139457929 | Medicaid | TX | |
| 139457922 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 427523 | TX | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249948800000",
"number": "1497819569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660599",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 HARRY HINES BLVD",
"address_2": "WISH TUBAL CLINIC",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357708",
"telephone_number": "214-590-5306",
"fax_number": "214-590-2798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINEDA",
"first_name": "MERCEDES",
"middle_name": "C.",
"credential": "WHCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2009-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "427523",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139457925",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139457930",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139457924",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139457928",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139457927",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139457916",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139457923",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139457926",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139457929",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139457922",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.