SELENE MENDOZA (NPI# 1366659161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366659161 |
Entity Type | Individual |
Full Name | SELENE MENDOZA |
Credential | CNP |
Practice Address |
1161 Mall Dr Ste. C Las Cruces NM 88011-8193 |
Mailing Address |
1161 Mall Dr Ste C Las Cruces NM 88011-8193 |
Practice Telephone | 5755222330 |
Practice Fax Number | 5755222344 |
Mailing Telephone | 5755222330 |
Mailing Fax Number | 5755222344 |
Enumeration Date | 2007-05-17 |
Last Update Date | 2016-10-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
CNP01102 | NM | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 45401837 | 05 |
Street Address |
1161 MALL DR STE. C |
City | LAS CRUCES |
State | NM |
Zip Code | 88011-8193 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609267103 | Exclusive Psychiatric Care LLC | Nurse Practitioner | 1161 Mall Dr, Ste C, Las Cruces, NM 88011-8193 | 2015-02-05 |
1235413923 | James Phillip Salazar | Nurse Practitioner | 1161 Mall Dr, Suite C, Las Cruces, NM 88011-8193 | 2011-09-29 |
1033430533 | Exclusive Psychiatric Care | Counselor | 1161 Mall Dr, Suite C, Las Cruces, NM 88011-8193 | 2010-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
Find all providers in zip 88011 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790704427 | Karen L. Lee | Registered Nurse | 1980 E Lohman Ave Ste B, Las Cruces, NM 88001-3194 | 2006-07-19 |
1780012435 | Alexandria Johnson | Registered Nurse | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2013-10-16 |
1407294622 | Courtney Sanchez | Registered Nurse | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2013-06-10 |
1700193745 | Patricia M Stoddard | Registered Nurse | 118 S Main Street, Las Cruces, NM 88001 | 2010-09-13 |
1780854711 | Leslie Flores IIi | Registered Nurse | 100 W Griggs Ave, Las Cruces, NM 88001-1234 | 2008-03-05 |
1477566693 | Nancy L Hofmann | Registered Nurse | 1401 S Don Roser Dr Ste F, Las Cruces, NM 88011-4567 | 2006-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417574278 | Kimberly Ann Justice | Registered Nurse | 2620 Fred Daugherty Ave, Clovis, NM 88101-8636 | 2020-06-28 |
1851818157 | Karen L Jones | Registered Nurse | 5 Bisbee Ct # 109-96, Santa Fe, NM 87508-1397 | 2017-08-28 |
1720517006 | Christine Margaret Sanchez | Registered Nurse | 700 2nd St. Nw, Albuquerque, NM 87102 | 2017-06-08 |
1871852178 | Margaret A. Wood | Registered Nurse | 2351 25th St, Unit B, Alamogordo, NM 88310-8722 | 2012-05-08 |
1497987044 | Luxana Chanprakrit | Registered Nurse | 2552 Coors Blvd Nw, Albuquerque, NM 87120-2123 | 2009-08-17 |
1932372935 | Debra Stanger | Registered Nurse | 8605 Vineyard Ridge Rd Ne, Albuquerque, NM 87122-2623 | 2008-04-10 |
1093937450 | Pamela Rae Field | Registered Nurse | 5305 Mountain Rd Ne, Albuquerque, NM 87110-6417 | 2007-05-03 |
1356332852 | Walter Kerry Viers | Registered Nurse | 500 Shelly Rd. S.w., Albuquerque, NM 87151-0001 | 2005-11-03 |
1225677982 | Julio Cesar Fermin | Registered Nurse | 901 W Hickory St, Deming, NM 88030-4046 | 2019-12-29 |
1538632583 | Mary Pena | Registered Nurse | 920 W Broadway St, Hobbs, NM 88240-5529 | 2019-01-02 |
Find all providers with the same taxonomy |
City | LAS CRUCES |
Zip Code | 88011 |
Please comment or provide details below to improve the information on SELENE MENDOZA.
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.