Ellena T Mendoza, L.M.T

Primary specialty

SpecialistTaxonomy code 174400000X

License

608 Issued in CO

Practice address

1410 Valley View Dr
Ste 305
Delta, CO 81416-3130

Phone

(970) 874-7178

Fax

(970) 874-7178

NPI assigned

Jun 30, 2008

Last updated

May 27, 2009By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1578725586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 VALLEY VIEW DR",
            "address_2": "STE 305",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814163130",
            "telephone_number": "970-874-7178",
            "fax_number": "970-874-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 VALLEY VIEW DR",
            "address_2": "STE 305",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814163130",
            "telephone_number": "970-874-7178",
            "fax_number": "970-874-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ELLENA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "L.M.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce M McKenney, M.D.
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• Larry D Melia, M.D.
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• Cindy Ann Miller, LMT

• Specialist in Delta, CO
• Providers in Delta, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.

Verify at the official NPI Registry.