Mercedes Yanson Mortalla

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP137774 Issued in TX

Practice address

680 Paredes Line Rd
Brownsville, TX 78521-2482

Phone

(956) 541-9499

NPI assigned

Jan 29, 2019

Last updated

Jan 29, 2019By the provider in NPPES

Sex

Female

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1538623186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 STAR AVE",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 PAREDES LINE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212482",
            "telephone_number": "956-541-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTALLA",
        "first_name": "MERCEDES",
        "middle_name": "YANSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdaleno Moreno II
• Jesse C Morgan, R.PH.
• Moriah Adult Day Care LLC
• Moriah Medical Supplies LLC.
• Morning Star Diagnostic Services Inc
• Mayra Morua
• Rick P Moses, LMFT
• Shoba Moses
• Tracy H. Moss, M.D.
• David Max Mota Carvajal

• Family Nurse Practitioner in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.