Individual provider Active NPI

Rolando Santana Mendez

  • Registered Nurse First Assistant
  • Panama City, FL
National Provider Identifier
1518207653
Registry record updated Oct 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN9448937 Issued in FL
Practice address
4045 Woodville LN
Panama City, FL 32405-3279
Phone
(678) 608-8720
NPI assigned
Feb 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 725572 NY
Surgical Assistant 246ZC0007X 13-153 GA
Registered Nurse First Assistant 163WR0006X RN9448937 FL Primary

Addresses

Primary practice location

4045 Woodville LN
Panama City, FL 32405-3279

Mailing address

4045 Woodville LN
Panama City, FL 32405-3279
Phone (678) 608-8720

Other practice location 1

6550 Roswell Rd NE
Sandy Springs, GA 30328-3141
Phone (678) 608-8720

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

LicenseStateTypeSpecialty
725572NYMDGeneral Practice Registered Nurse
RN9448937FLMDRegistered Nurse First Assistant
13-153GAMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570320000000",
    "number": "1518207653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 WOODVILLE LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053279",
            "telephone_number": "678-608-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 WOODVILLE LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053279",
            "telephone_number": "678-608-8720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 Roswell Rd NE",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303283141",
            "country_code": "US",
            "telephone_number": "678-608-8720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTANA MENDEZ",
        "first_name": "ROLANDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-27",
        "last_updated": "2019-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "725572",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "GA",
            "license": "13-153",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN9448937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.