Active NPI
Jocelyne Mendiola
- Nurse's Aide
- Fremont, NE
National Provider Identifier
1730877085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 157373
- Practice address
- 1750 N Lincoln Ave
Fremont, NE 68025-3299 - Phone
- (402) 727-3050
- NPI assigned
- Apr 25, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 157373 | NE | Primary |
Addresses
Primary practice location
1750 N Lincoln Ave
Fremont, NE 68025-3299
Mailing address
2129 Morningside Rd Apt 2610
Fremont, NE 68025-8909
Phone (956) 693-0370
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
| License | State | Type | Specialty |
|---|---|---|---|
| 157373 | NE | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1730877085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2129 MORNINGSIDE RD APT 2610",
"city": "FREMONT",
"state": "NE",
"postal_code": "680258909",
"telephone_number": "956-693-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 N LINCOLN AVE",
"city": "FREMONT",
"state": "NE",
"postal_code": "680253299",
"telephone_number": "402-727-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDIOLA",
"first_name": "JOCELYNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-25",
"last_updated": "2023-04-25",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NE",
"license": "157373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.