ULYSSES MENDEZ (NPI# 1215308804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215308804 |
| Entity Type | Individual |
| Full Name | ULYSSES MENDEZ |
| Credential | EMT |
| Practice Address |
9040 Reid Street Madigan Army Medical Ctr Attn: Mchj-clq-c Tacoma WA 98431-1000 |
| Practice Telephone | 2539681110 |
| Practice Fax Number | 8778741031 |
| Mailing Telephone | 2539681110 |
| Mailing Fax Number | 8778741031 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | E3079722 | Emergency Medical Service Providers |
| Street Address |
9040 REID STREET MADIGAN ARMY MEDICAL CTR ATTN: MCHJ-CLQ-C |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740655489 | Erlinda De Los Reyes Asuncion | Registered Nurse | 9040 Reid Street Madigan Army Medical Ctr, Attn: Mchj-clq-c, Tacoma, WA 98431-1000 | 2015-12-07 |
| 1275908030 | Justin Nachtweit | Emergency Medical Technician, Basic | 9040 Reid Street Madigan Army Medical Ctr, Attn: Mchj-clq-c, Tacoma, WA 98431-1000 | 2015-12-04 |
| 1831560697 | Tami R. Gazerro | Registered Nurse | 9040 Reid Street Madigan Army Medical Ctr, Attn: Mchj-clq-c, Tacoma, WA 98431-1000 | 2015-10-19 |
| 1942671482 | Nicole Nancy Virden | Licensed Practical Nurse | 9040 Reid Street Madigan Army Medical Ctr, Attn: Mchj-clq-c, Tacoma, WA 98431-1000 | 2015-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679183412 | Alexandra Grace Wooten | Emergency Medical Technician, Basic | 5043 N Visscher St, Tacoma, WA 98407-2112 | 2020-08-06 |
| 1609404409 | Montana Wynn Gubrud | Emergency Medical Technician, Basic | 1705 Dock St Unit 334, Tacoma, WA 98402-3216 | 2020-03-29 |
| 1306311667 | Michael Dean Torres | Emergency Medical Technician, Basic | Madigan Army Medical Center, 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-10-12 |
| 1285125351 | Xinhui Huang | Emergency Medical Technician, Basic | 4815 Wa Tau Ga Ave Ne, Tacoma, WA 98422-1757 | 2018-05-24 |
| 1104344472 | Chalsea Jayne Hicks Nerys | Emergency Medical Technician, Basic | Madigan Army Medical Center Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2017-09-06 |
| 1689038705 | William Anthony Bermoy IIi | Emergency Medical Technician, Basic | 9040 Jackson Ave, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1100 | 2016-04-06 |
| 1710344015 | Matthew C Dayoe | Emergency Medical Technician, Basic | 9040 Reid St, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2016-01-19 |
| 1689236507 | Meredith Anna Russell | Emergency Medical Technician, Basic | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-07-01 |
| 1386107456 | Robert De La Pena Jr. | Emergency Medical Technician, Basic | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-04-07 |
| 1366918625 | Rafcel Gabriel Hernandez | Emergency Medical Technician, Basic | Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98433-1100 | 2018-10-15 |
| Find all providers in TACOMA | ||||
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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.