Lindsey Mendez, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

95013629 Issued in CA

Practice address

874 Main St
Fortuna, CA 95540-1926

Phone

(707) 725-3334

Fax

(707) 725-2455

NPI assigned

Jan 10, 2020

Last updated

Jan 16, 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

Other identifiers 1

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.

• Fortuna Family Medical Group Inc

  • Family Medicine Physician
  • Fortuna, CA
  • NPI 1376655217
  NPD (past)

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1871133504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 MAIN ST",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955401926",
            "telephone_number": "707-725-3334",
            "fax_number": "707-725-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 MAIN ST",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955401926",
            "telephone_number": "707-725-3334",
            "fax_number": "707-725-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "LINDSEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95013629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTIONER",
            "identifier": "95013629",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Therese Maxey, MA
• Natalie Kathryn McQueen, PA-C
• Aiyana B. Meadows, PT
• Medi-Lift Inc
• Debra K Mendes
• Cristina Eleanor Menzie
• Michael H Crosbie Chiropractic Inc (Crosbie Chiropractic)
• Moriah Dawn Miranda, LCSW
• Seth Miskin, OD
• Missing Linx Interpreting LLC

• Family Medicine Physician in Fortuna, CA
• Providers in Fortuna, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.