Individual provider Active NPI

Maral Vahdati Mendizabal, BSN-RN

  • Registered Nurse
  • Middleton, FL
National Provider Identifier
1609705177
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
9658207 Issued in FL
Practice address
7563 Dinapoli CT
Middleton, FL 34762-1414
Phone
(949) 233-6720
NPI assigned
May 19, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 9658207 FL Primary

Addresses

Primary practice location

7563 Dinapoli CT
Middleton, FL 34762-1414

Mailing address

7563 Dinapoli CT
Middleton, FL 34762-1414
Phone (949) 233-6720

Other practice location 1

2716 Rew Cir Ste 101
Ocoee, FL 34761-4201
Phone (407) 610-5288

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
9658207FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1609705177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7563 DINAPOLI CT",
            "city": "MIDDLETON",
            "state": "FL",
            "postal_code": "347621414",
            "telephone_number": "949-233-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7563 DINAPOLI CT",
            "city": "MIDDLETON",
            "state": "FL",
            "postal_code": "347621414",
            "telephone_number": "949-233-6720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2716 Rew Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347614201",
            "country_code": "US",
            "telephone_number": "407-610-5288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDIZABAL",
        "first_name": "MARAL",
        "middle_name": "VAHDATI",
        "credential": "BSN-RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9658207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.