Tracey Mendelson, N.N.P.

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

81-0027 Issued in MS

Practice address

6215 Humphreys Blvd
Ste 310
Memphis, TN 38120-2367

Phone

(901) 747-0291

Fax

(901) 747-0299

NPI assigned

Jan 24, 2006

Last updated

Feb 10, 2009By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72952

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.

• East Memphis Neonatology Associates P.C

  • Neonatal-Perinatal Medicine Physician
  • Memphis, TN
  • NPI 1659485761
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1972573855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 HUMPHREYS BLVD",
            "address_2": "STE 310",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202367",
            "telephone_number": "901-747-0291",
            "fax_number": "901-747-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 HUMPHREYS BLVD",
            "address_2": "STE 310",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202367",
            "telephone_number": "901-747-0291",
            "fax_number": "901-747-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSON",
        "first_name": "TRACEY",
        "credential": "N.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "MS",
            "license": "81-0027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memphis Vascular Specialists PC
• Memphis Women's Healthcare, Inc
• Mended Therapy PLLC
• Shaun W Mendel, CRNA
• Roni Rachel Mendelson, MD
• Cedric Mendez, PT
• Katherine Mendez, SLP
• Colleen Alexis Menegaz, MD
• Sasha Maria Menon, MBBS
• Melinda S Menser, LCSW

• Neonatal Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Neonatal Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.