Mesobella

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

583243 Issued in TX

Legal business name

MESOBELLA

Practice address

731 E Southlake Blvd # 180
Southlake, TX 76092-6377

Phone

(817) 251-6376

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Trina Lanza, RN,WOCN,MSN,FNPNPI 1518917798

Title

Owner

Phone

(817) 291-5780

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trina Desiree Lanza, RN, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Grapevine, TX
  • NPI 1518917798

  Family

  NPD (past) Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1689740656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 E SOUTHLAKE BLVD # 180",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926377",
            "telephone_number": "817-251-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 E SOUTHLAKE BLVD # 180",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926377",
            "telephone_number": "817-251-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESOBELLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "LANZA",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-291-5780",
        "authorized_official_credential": "RN,WOCN,MSN,FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "583243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Mendoza, PMHNP
• Latrecia Marvette Menindez
• Mental Health Wellness LLC
• Jennifer Merimonti, P.T.
• Rick Merritt
• Methodist Hospitals of Dallas
• Metroplex Wellness, LLC
• Amy Mettman, MD
• Metx, LLC
• Rebeca F Meyer, LPC

• Family Nurse Practitioner in Southlake, TX
• Providers in Southlake, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.