Active NPI
Amber Mendoza, BSN,RN
- Community Health Registered Nurse
- El Paso, TX
National Provider Identifier
1609692573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 1141798
- Practice address
- 14837 Ted Banks Ave
El Paso, TX 79938-3143 - Phone
- (915) 238-9833
- NPI assigned
- Nov 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 1141798 | TX | Primary |
Addresses
Primary practice location
14837 Ted Banks Ave
El Paso, TX 79938-3143
Mailing address
14837 Ted Banks Ave
El Paso, TX 79938-3143
Phone (915) 238-9833
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1141798 | TX | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1609692573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14837 TED BANKS AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799383143",
"telephone_number": "915-238-9833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14837 TED BANKS AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799383143",
"telephone_number": "915-238-9833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "AMBER",
"credential": "BSN,RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-25",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "TX",
"license": "1141798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.