Christine Ann Mentz

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

L19000184766 Issued in FL

Practice address

13903 Ascot Dr
Jacksonville, FL 32250-1603

Phone

(904) 304-2447

NPI assigned

Nov 9, 2019

Last updated

Nov 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1573257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573257600000",
    "number": "1770128159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13903 ASCOT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501603",
            "telephone_number": "904-304-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13903 ASCOT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501603",
            "telephone_number": "904-304-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTZ",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-09",
        "last_updated": "2019-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "L19000184766",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "L19000184766",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "L19000184766",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenzie Mente
• John Joseph Mentel, M.D.
• Ellie Chiwon Kho Mentler, MD
• Stacey Menton, MM
• Bobbie Jo Mentz, MPT
• Robert Theodore Mentz III, OTR/L
• Christopher Menz, ARNP
• Roger Micheel Menze, M.D.
• Diana Iniguez Mercado, M.D.
• Queency Joy Mercado, D.O.

• Home Health Aide in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2019; 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.