Organization Active NPI

Laurie Mendiola, CNP,LLC

Doing business as Laurie J. Mendiola

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1922283043
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LAURIE MENDIOLA, CNP,LLC
Doing business as
Laurie J. Mendiola
Practice address
3150 Carlisle Blvd NE Ste 108
Albuquerque, NM 87110-1680
Phone
(505) 830-6018
NPI assigned
Jan 8, 2008
Last updated
Jan 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Mrs. Laurie J Mendiola, CNPNPI 1962422691
Title
Owner
Phone
(505) 830-6018

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

3150 Carlisle Blvd NE Ste 108
Albuquerque, NM 87110-1680

Mailing address

7112 Portulaca Dr NW
Albuquerque, NM 87120-2763
Phone (505) 553-2278

Other identifiers 1

IdentifierTypeStateIssuer
44384777MedicaidNM

Other names 1

  • Laurie J. Mendiola Doing business as

National Provider Directory

National Provider Directory

Locations

3150 Carlisle Blvd NE
Ste 108
Albuquerque, NM 87110
Phone (505) 830-6018

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1922283043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7112 PORTULACA DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202763",
            "telephone_number": "505-553-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CARLISLE BLVD NE STE 108",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101680",
            "telephone_number": "505-830-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE MENDIOLA, CNP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "MENDIOLA",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-830-6018",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44384777",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurie J. Mendiola",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.