Melizza M Mendoza, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

819786 Issued in TX

Practice address

407 SE 9TH St Ste 103
Fort Lauderdale, FL 33316-1113

Phone

(954) 463-0112

Fax

(954) 463-0117

NPI assigned

Oct 20, 2022

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)

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 and National Provider Directory roles.

• Conroe-Woodlands Gastroenterology, P.a.

  • Gastroenterology Physician
  • Conroe, TX
  • NPI 1962539155
  NPD (past)

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1831816826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 SE 9TH ST STE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161113",
            "telephone_number": "954-463-0112",
            "fax_number": "954-463-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 SE 9TH ST STE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161113",
            "telephone_number": "954-463-0112",
            "fax_number": "954-463-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MELIZZA",
        "middle_name": "M",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "819786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana M Mendonca, PT
• Josiane Mendonca
• Alejandro Mendoza, MD
• Iluminada Canlas Mendoza, PT
• Jessenia V Mendoza
• Yasmin R Mendoza, LMHC
• Damodara Rao Mendu, PHD
• Cem Menekse, DMD
• Annabelle Marie Menendez, DO
• Benny Menendez, MD

• Registered Dietitian in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.