Kerri Mendoza, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

342608 Issued in NY

Practice address

501A W Montauk Hwy
Babylon, NY 11704-8308

Phone

(631) 818-6000

NPI assigned

Dec 14, 2021

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

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": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1740949098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FUOCO RD",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132009",
            "telephone_number": "631-316-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501A W MONTAUK HWY",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117048308",
            "telephone_number": "631-818-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "KERRI",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "342608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen McKenna, LMSW
• Sarah Louise McShane, MAPT
• Jessica McTygue, FNP
• Mdny Medical PC
• Melissa Meli, LMHC
• Kevin G Mescall
• Vasilios Dimetrios Mesimeris, DMD
• Marc Messineo, D.O.
• Metro Therapy
• Michael Scottodimaso and Tara Derosa, PT, OT, PLLC

• Licensed Practical Nurse in Babylon, NY
• Providers in Babylon, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.