Joseph Deal Mendenhall

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

Practice address

5008 Madrona Beach LN KP N
Vaughn, WA 98394-0307

Phone

(253) 549-5119

NPI assigned

Dec 8, 2015

Sex

Male

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

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1538534136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "address_2": "5008 MADRONA BEACH LN KP N",
            "city": "VAUGHN",
            "state": "WA",
            "postal_code": "983940307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 MADRONA BEACH LN KP N",
            "city": "VAUGHN",
            "state": "WA",
            "postal_code": "983940307",
            "telephone_number": "253-549-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDENHALL",
        "first_name": "JOSEPH",
        "middle_name": "DEAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Grace Campbell, LMP
• Kimberly Heming, LMHCA
• Alexandra Lofdahl I
• Gwendolyn Jean McMurtrey Ingels
• Sharay A Nickles, LMHC
• Work Point LLC

• All providers in Vaughn, WA
• Basic Emergency Medical Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.