Phyllis Jean Mendez

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

288359 Issued in IA

Practice address

1502 38TH St
Fort Madison, IA 52627-3210

Phone

(319) 371-9348

NPI assigned

Oct 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1689273914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 38TH ST",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526273210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 38TH ST",
            "city": "FORT MADISON",
            "state": "IA",
            "postal_code": "526273210",
            "telephone_number": "319-371-9348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1506 38th St",
            "address_purpose": "LOCATION",
            "city": "Fort Madison",
            "state": "IA",
            "postal_code": "526273210",
            "country_code": "US",
            "telephone_number": "319-371-9348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "PHYLLIS",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IA",
            "license": "288359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pmendez1210.pm@gmail.com",
            "affiliation": "N",
            "address_1": "1502 38th St",
            "city": "Fort Madison",
            "state": "IA",
            "country_code": "US",
            "postal_code": "526273210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristin Kay Maus, O.D.
• Curt C. McClellan, DO
• Kati McGuffin
• Catherine A Mehmert
• Mariah Kay Meller, D.C.
• Laura Anne Merrifield, RD, LD
• Maya Mesghali
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• Summer Miller
• Mobile Nursing Hospice, Inc.

• Home Health Aide in Fort Madison, IA
• Providers in Fort Madison, IA by specialty
• Home Health Aide in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.