Individual provider Active NPI

Ashley Baker Mendoza, APRN, FNP-C

  • Family Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1922561083
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1028209 Issued in TX
Practice address
1850 W Lake Houston Pkwy Ste 100
Kingwood, TX 77339-5238
Phone
(281) 540-7764
NPI assigned
Apr 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F12200230 TX
Family Nurse Practitioner 363LF0000X 1028209 TX Primary

Addresses

Primary practice location

1850 W Lake Houston Pkwy Ste 100
Kingwood, TX 77339-5238

Mailing address

19230 Hikers Trail Dr
Humble, TX 77346-6031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210518000343 TX Practitioner - Nurse Practitioner 6406265776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy and ENT Associates PLLCGroup PAC ID 4688660715, 31 clinicians

Practice addresses (Care Compare)

20631 Kuykendahl Rd
Suite 100
Spring, TX 77379-3318
Phone (281) 453-1001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1028209TXMDFamily Nurse Practitioner
F12200230TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & ENT Associates, PLLC CurrentSince Feb 2, 2021 Accepting new patients
Austin Family Allergy & Asthma, PA CurrentSince Feb 2, 2021 Accepting new patients
Allergy & ENT Associates, PLLC Current Accepting new patients

Locations

7599 Garth Rd
Ste 700
Baytown, TX 77521
Phone (281) 425-9313

14800 Frye Rd
Fl 2
Ft Worth, TX 76155

1850 W Lake Houston Pkwy
Ste 100
Kingwood, TX 77339
Phone (281) 540-7764

20631 Kuykendahl Rd
Ste 100
Spring, TX 77379
Phone (281) 453-1001

9301 Pinecroft Dr
Ste 100
The Woodlands, TX 77380
Phone (281) 364-1001

561 W Medical Center Blvd
Ste G
Webster, TX 77598
Phone (281) 332-2348

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1922561083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19230 HIKERS TRAIL DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773466031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W LAKE HOUSTON PKWY STE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395238",
            "telephone_number": "281-540-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ASHLEY",
        "middle_name": "BAKER",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-07",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F12200230",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1028209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.