Individual provider Active NPI

Teresa E Mendez, APRN

  • Women's Health Nurse Practitioner
  • Leesburg, FL
National Provider Identifier
1932563202
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
9266247 Issued in FL
Practice address
601 E Dixie Ave Ste 401
Leesburg, FL 34748-5997
Phone
(407) 485-5711
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 9266247 FL Primary

Addresses

Primary practice location

601 E Dixie Ave Ste 401
Leesburg, FL 34748-5997

Mailing address

1900 Don Wickham Dr Ste 110
Clermont, FL 34711-1980
Phone (352) 241-7275

Other identifiers 2

IdentifierTypeStateIssuer
ARNP9266247OtherFLMEDICAL LICENSE
017344900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160720001372 FL Practitioner - Nurse Practitioner 7719270362 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

1400 N US Hwy 441
Suite 950
The Villages, FL 32159-6813
Phone (352) 259-5649

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

601 E Dixie Ave
401 Lake OB/GYN Associates of Mid Flori
Leesburg, FL 34748-5997
Phone (352) 787-1535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9266247FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Florida Inc CurrentSince Nov 1, 2023 Accepting new patients
Total Woman Health Care PA CurrentSince Jan 22, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Vitalmd Group Holding LLC CurrentSince Nov 1, 2022 Accepting new patients
Orlando Health Network Inc Past Accepting new patients

Locations

2080 Oakley Seaver Dr
Clermont, FL 34711
Phone (352) 241-7275

1900 Don Wickham Dr
Ste 110
Clermont, FL 34711
Phone (352) 241-6460

601 E Dixie Ave
Ste 401
Leesburg, FL 34748
Phone (352) 787-1535

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

885 Sedalia St
Ste 100
Ocoee, FL 34761
Phone (407) 294-2994

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

8690 Point Cypress Dr
Ste 210
Orlando, FL 32836

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

Interoperability endpoints

  • Direct secure messaging: tmendez36342@orlandohealth.medalliesdirect.net
  • FHIR API: https://api.platform.athenahealth.com/14176/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1932563202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 DON WICKHAM DR STE 110",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111980",
            "telephone_number": "352-241-7275",
            "fax_number": "352-241-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E DIXIE AVE STE 401",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485997",
            "telephone_number": "407-485-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "TERESA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "9266247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ARNP9266247",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017344900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.