LISSETTE MENDEZ MERCADO (NPI# 1053963728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053963728 |
| Entity Type | Individual |
| Full Name | LISSETTE MENDEZ MERCADO |
| Practice Address |
6900 Tavistock Lakes Blvd Ste 400 Orlando FL 32827-7593 |
| Practice Telephone | 3213486867 |
| Practice Fax Number | 3212565799 |
| Mailing Telephone | 3213486867 |
| Mailing Fax Number | 3212565799 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
6900 TAVISTOCK LAKES BLVD STE 400 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32827-7593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639228406 | Alexandra Marie Perez | Physical Therapist | 6900 Tavistock Lakes Blvd Ste 400, Orlando, FL 32827-7593 | 2007-01-09 |
| 1083227532 | Tabitha Schauer | Speech-Language Pathologist | 6900 Tavistock Lakes Blvd Ste 400, Orlando, FL 32827-7593 | 2020-08-25 |
| 1356954077 | Tiauna Timmons | Social Worker | 6900 Tavistock Lakes Blvd Ste 400, Orlando, FL 32827-7593 | 2020-08-24 |
| 1265044960 | Daysel Hernandez Galvez | Physical Therapy Assistant | 6900 Tavistock Lakes Blvd Ste 400, Orlando, FL 32827-7593 | 2020-08-24 |
| 1740892744 | Henry Toussaint | Occupational Therapy Assistant | 6900 Tavistock Lakes Blvd Ste 400, Orlando, FL 32827-7593 | 2020-08-20 |
| 1023629292 | Theresa Crozier | Physical Therapy Assistant | 6900 Tavistock Lakes Blvd Ste 400, Orlando, FL 32827-7593 | 2020-08-12 |
| 1205447315 | Nicole J Torres-pabon | Occupational Therapy Assistant | 6900 Tavistock Lakes Blvd Ste 400, Orlando, FL 32827-7593 | 2020-08-12 |
| 1689284192 | Risha Raja | Occupational Therapist | 6900 Tavistock Lakes Blvd Ste 400, Orlando, FL 32827-7593 | 2020-08-10 |
| 1912517574 | Maria Escalante | Physical Therapy Assistant | 6900 Tavistock Lakes Blvd Ste 400, Orlando, FL 32827-7593 | 2020-08-07 |
| 1396355947 | Alexis Owensby | Occupational Therapy Assistant | 6900 Tavistock Lakes Blvd Ste 400, Orlando, FL 32827-7593 | 2020-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710515408 | Guru Nandha Raja Chinnaraj | Student in an Organized Health Care Education/Training Program | 6850 Lake Nona Boulevard, Orlando, FL 32827 | 2020-03-30 |
| 1669030037 | Makris Dental LLC | Dentist | 13250 Narcoossee Road, Orlando, FL 32827 | 2019-05-31 |
| 1174016265 | Heather Marinello | Audiologist | Orlando Va Medical Center- Audiology Department, 13800 Veterans Way, Orlando, FL 32827 | 2018-06-13 |
| 1316445471 | Adventist Health System/sunbelt Inc. | Clinic/Center | 9637 Lake Nona Village Pl., Orlando, FL 32827 | 2018-01-24 |
| 1578077335 | Seyla Counseling Inc | Psychologist | 6900 Tanrsrock Lake Blvd Suite 400, Orlando, FL 32827 | 2017-11-30 |
| 1013426188 | Valerie Anne Farrell | Social Worker | 13800 Veteran's Way, Bldg 9, Orlando, FL 32827 | 2017-09-21 |
| 1568981256 | Aneal Ansar Ahmed | Pharmacist | 6550 Sanger Road, University of Florida, Orlando, FL 32827 | 2017-09-13 |
| 1083132575 | Lindey Christine Bartolucci | Psychologist | 13800 Veterans Way Fl 2, Orlando, FL 32827 | 2017-09-05 |
| 1396299087 | Leah Sheehey-hampton | Counselor | 600 Tavistock Lakes Blvd, Suite 400, Orlando, FL 32827 | 2016-08-10 |
| 1972919272 | Scott Sakowitz | Dentist | 9161 Narcoossee Rd Ste 105b, Orlando, FL 32827 | 2014-07-08 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023925 | Eddy David | Case Manager/Care Coordinator | 1118 Grayson Dr, Orlando, FL 32825-6724 | 2020-11-06 |
| 1821696071 | Dianelis Ramirez | Case Manager/Care Coordinator | 6245 Dell St, Orlando, FL 32809-4311 | 2020-10-10 |
| 1790396133 | Paola Nicole Perez | Case Manager/Care Coordinator | 3618 Wilshire Way Rd, Orlando, FL 32829-7358 | 2020-08-10 |
| 1467070110 | Jamaline Rosita Goyco-cox | Case Manager/Care Coordinator | 6141 Raleigh St Apt 1010, Orlando, FL 32835-2278 | 2020-07-09 |
| 1508482019 | Nicole Mojica | Case Manager/Care Coordinator | 10243 Park Commons Dr, Orlando, FL 32832-7040 | 2020-06-20 |
| 1386266575 | Silvanita A Trevino | Case Manager/Care Coordinator | 144 N Lancelot Ave, Orlando, FL 32835-1324 | 2020-05-11 |
| 1164056156 | Alexandra Carolina Pulido | Case Manager/Care Coordinator | 1537 River Reach Dr Apt 159, Orlando, FL 32828-5831 | 2020-02-27 |
| 1487285797 | Reggie A Montalvo | Case Manager/Care Coordinator | 5578 Metrowest Blvd Apt 109, Orlando, FL 32811-2467 | 2020-01-27 |
| 1649801960 | Ivonne Bernier | Case Manager/Care Coordinator | 137 Grande Valencia Dr Apt 302, Orlando, FL 32825-3757 | 2020-01-27 |
| 1023648755 | Jsamila Mcwhite | Case Manager/Care Coordinator | 4753 Dandelion Dr, Orlando, FL 32818-1772 | 2020-01-22 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.