SELENE MENDOZA


Address: 1161 Mall Dr, Ste. C, Las Cruces, NM 88011-8193
Phone: 5755222330

SELENE MENDOZA (NPI# 1366659161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
CNP01102 NM Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 45401837 05

Office Location

Street Address 1161 MALL DR
STE. C
City LAS CRUCES
State NM
Zip Code 88011-8193

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City LAS CRUCES
Zip Code 88011

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Dataset Information

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.

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