Casey Danielle Mendieta

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

R-9261 Issued in LA

Practice address

2285 Benton Rd Ste C200
Bossier City, LA 71111-3554

Phone

(318) 741-5909

NPI assigned

Jul 13, 2021

Last updated

Jul 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercier & Associates, Inc.

  dba Janey Macey & Associates

  • Speech-Language Pathologist
  • Bossier City, LA
  • NPI 1437322088
  NPD (past)

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1780256305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 RUTLEDGE ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067825",
            "telephone_number": "318-550-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 BENTON RD STE C200",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113554",
            "telephone_number": "318-741-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIETA",
        "first_name": "CASEY",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "LA",
            "license": "R-9261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medivue LLC (Dr TUSHAR PAWAR)
• Medrx Specialty Pharmacy, LLC. (MedRx Pharmacy)
• Kenneth John Mekelburg, M.D.
• Melanie Smith MD and Willis-Knighton Medical Center
• Melosa Foundation
• Mercier & Associates, Inc. (Janey Macey & Associates)
• Cheynita Metoyer, MD
• Michael Angelo Apmc
• Michael Banda Apmc
• Michael R Sewell MD

• Behavior Technician in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Behavior Technician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.