NICOLE LEA MENDOZA (NPI# 1538199203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538199203 |
| Entity Type | Individual |
| Full Name | NICOLE LEA MENDOZA |
| Credential | AA |
| Practice Address |
3001 W. Dr. Martin Luther King Jr. Blvd. Tampa FL 33607-6307 |
| Mailing Address |
Po Box 551420 Fort Lauderdale FL 33355-1420 |
| Practice Telephone | 8133507244 |
| Practice Fax Number | 8133507246 |
| Mailing Telephone | (800) 243-3839 |
| Mailing Fax Number | 8558514405 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2017-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | AA388 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047922 | Nicole Mendoza | Behavior Technician | 7529 Standish Pl Ste 355, Derwood, MD 20855-2733 | 2020-09-10 |
| 1730732124 | Nicole Mendoza | Behavior Technician | 2970 Hilltop Mall Rd Ste. 104, Richmond, CA 94806-9480 | 2019-07-24 |
| 1801302179 | Nicole M Mendoza | Counselor | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2017-12-21 |
| 1649638974 | Nicole Rae Mendoza | Nurse Practitioner | 329 S Ivy St, Medford, OR 97501-3174 | 2016-02-01 |
| Street Address |
3001 W. DR. MARTIN LUTHER KING JR. BLVD. |
| City | TAMPA |
| State | FL |
| Zip Code | 33607-6307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013909373 | Hardeo Karamchand Panchoosingh | Pediatrics | 3001 W. Dr. Martin Luther King Jr. Blvd., 1st Floor, Tampa, FL 33607-6307 | 2005-08-22 |
| 1821457052 | Courtney M. Cardisco | Nurse Anesthetist, Certified Registered | 3001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33607-6307 | 2016-02-16 |
| 1982076758 | Oneal Mcfarlane | Nurse Anesthetist, Certified Registered | 3001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33607-6307 | 2015-10-20 |
| 1134528474 | Leah M. Dilone | Anesthesiologist Assistant | 3001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33607-6307 | 2014-08-21 |
| 1447564158 | Nathan Asher Young | Anesthesiologist Assistant | 3001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33607-6307 | 2010-08-05 |
| 1255531455 | Erin Marie Cockrell | Pediatrics | 3001 W. Dr. Martin Luther King Jr. Blvd., 1st Floor, Tampa, FL 33607-6307 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656265 | Sky City Pharmacy LLC | Pharmacy | 2812 W. Dr Martin Luther King Jr Blvd, Tampa, FL 33607 | 2020-07-16 |
| 1821614413 | Tammy Sue Alleyn | Social Worker | 4414 N. Armenia Av., Tampa, FL 33607 | 2020-06-19 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1659909232 | Rachel Sobiech | Social Worker | 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 | 2020-03-30 |
| 1295379733 | Melizza Liz Sanchez Ayala | Registered Nurse | 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 | 2019-10-28 |
| 1720647191 | Caretyme LLC | Clinic/Center | 1923 West St. John Street, Tampa, FL 33607 | 2019-06-10 |
| 1720545981 | Amante Medical and Diabetic Center, P.a. | Internal Medicine | 1001 N Macdill Ave. Suite B, Tampa, FL 33607 | 2019-02-25 |
| 1609360908 | Misty Dawn Ray Ross | Social Worker | 2902 N Armenia Ave Ste 200, Tampa, FL 33607 | 2018-06-20 |
| 1255825154 | Kenneth Konrad Schirer | Physical Therapist | 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 | 2018-06-14 |
| 1902314875 | Cardiac Cin of Florida, LLC | Internal Medicine | 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 | 2018-01-13 |
| Find all providers in zip 33607 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710437561 | Alyssa Scheidecker | Anesthesiologist Assistant | 12305 Hawthorne View Court, Tampa, FL 33626 | 2016-10-05 |
| 1891039723 | Nicolle Marie Cushion Strikowski | Anesthesiologist Assistant | 14903 Barby Ave, Tampa, FL 33625-1530 | 2012-11-15 |
| 1790029643 | Amy Komarin | Anesthesiologist Assistant | 7036 Bonaventure Dr, Tampa, FL 33607-5814 | 2012-11-15 |
| 1891049375 | Melissa Dyann Miller | Anesthesiologist Assistant | 4805 W Laurel St, Suite 100, Tampa, FL 33607-4552 | 2012-11-05 |
| 1992306773 | Grace Smith | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-11-06 |
| 1679199939 | Diana Chung | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2020-06-23 |
| 1548751530 | Casey A Weitzel | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2018-05-24 |
| 1972007177 | Vanessa Nikolovska | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2018-03-21 |
| 1538683503 | Morgan Mercedes Gonzalez | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2017-08-01 |
| 1013431154 | Julia Chung | Anesthesiologist Assistant | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2017-07-31 |
| Find all providers in TAMPA | ||||
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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.