Evithner Mendoza Ruiz

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

964248 Issued in TX

Practice address

9100 Andrews Hwy
Odessa, TX 79765-1337

Phone

(858) 956-4016

NPI assigned

Aug 25, 2020

Last updated

Aug 25, 2020By 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

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1780297200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 ANDREWS HWY",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797651337",
            "telephone_number": "858-956-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 ANDREWS HWY",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797651337",
            "telephone_number": "858-956-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "EVITHNER",
        "middle_name": "MENDOZA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "964248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyler Ann Roteliuk, LAT, ATC
• Rowland Chiropractic Clinic, PC
• Edward Carrol Rowland, D.C.
• Paige Michelle Royal, OT
• Jaclyn G. Rubio
• Roberto Ruiz, MD
• Laurie Rush, P.T.
• Cryselda Ann Russell, FNP-C
• Myrna Russell, LCDC
• Robin D Rutherford, DDS

• Registered Nurse in Odessa, TX
• Providers in Odessa, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.