Individual provider Active NPI

Susana Mendez, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1639502347
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP124158 Issued in TX
Practice address
2207 Gus Thomasson Rd
Dallas, TX 75228-3002
Phone
(214) 466-7323
Fax
(214) 466-7326
NPI assigned
Aug 16, 2013
Last updated
May 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP124158 TX Primary
Family Nurse Practitioner 363LF0000X F0713905 TX

Addresses

Primary practice location

2207 Gus Thomasson Rd
Dallas, TX 75228-3002

Mailing address

9015 Garland Rd
Dallas, TX 75218-3920
Phone (214) 747-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160728002559 TX Practitioner - Nurse Practitioner 6901199827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VMD Primary Providers North Texas PLLCGroup PAC ID 2769896190, 20 clinicians

Practice addresses (Care Compare)

5001 Ross Ave
Suite 120
Dallas, TX 75206-7706
Phone (214) 269-5002

601 Clara Barton Blvd
Suite 145
Garland, TX 75042-5755
Phone (972) 560-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP124158TXMDFamily Nurse Practitioner
F0713905TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers North Texas, PLLC CurrentSince Dec 15, 2025 Accepting new patients
Rockwall Elite Healthcare PLLC CurrentSince Aug 12, 2020 Accepting new patients
White Rock Family Health PastSince Jul 24, 2006 Accepting new patients

Locations

5001 Ross Ave
#120
Dallas, TX 75206
Phone (214) 269-5002

105 N Goliad St
Rockwall, TX 75087
Phone (972) 771-6767

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDACAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1639502347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 GARLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183920",
            "telephone_number": "214-747-8800",
            "fax_number": "214-747-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 GUS THOMASSON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752283002",
            "telephone_number": "214-466-7323",
            "fax_number": "214-466-7326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "SUSANA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP124158",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F0713905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.