Individual provider Active NPI

Lourdes Mendoza, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1851717813
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN001645 Issued in NV
Practice address
500 S Rancho Dr
Suite 12
Las Vegas, NV 89106-4844
Phone
(702) 877-1887
Fax
(702) 877-4536
NPI assigned
Mar 13, 2014
Last updated
Dec 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN001645 NV Primary

Addresses

Primary practice location

500 S Rancho Dr
Suite 12
Las Vegas, NV 89106-4844

Mailing address

500 S Rancho Dr
Suite 12
Las Vegas, NV 89106-4844
Phone (702) 877-1887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140602000313 NV Practitioner - Nurse Practitioner 7113140641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahmad Noman MD PCGroup PAC ID 7517082977, 5 clinicians

Practice addresses (Care Compare)

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (702) 255-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN001645NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Housley MD PC CurrentSince Jan 12, 2017 Accepting new patients
Ahmad Noman MD PC CurrentSince Jun 1, 2015 Accepting new patients
Christopher S Choi MD a Prof Corp PastSince Sep 29, 2010 Accepting new patients

Locations

2000 Pinto Ln
Ste 200
Las Vegas, NV 89106
Phone (702) 367-9300

2500 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 341-1436

2860 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 233-0684

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

840 S Rancho Dr
Ste 4566
Las Vegas, NV 89106

Interoperability endpoints

  • Direct secure messaging: lmendoza87373@direct.umcsn.com
  • Direct secure messaging: lourdes.mendoza.1@14940.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1851717813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S RANCHO DR",
            "address_2": "SUITE 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064844",
            "telephone_number": "702-877-1887",
            "fax_number": "702-877-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S RANCHO DR",
            "address_2": "SUITE 12",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064844",
            "telephone_number": "702-877-1887",
            "fax_number": "702-877-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "LOURDES",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.