MRS. KRISTEN M MENDOZA (NPI# 1811496920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811496920 |
| Entity Type | Individual |
| Full Name | MRS. KRISTEN M MENDOZA |
| Practice Address |
108 N Coopers Hawk Way Palm Coast FL 32164-2312 |
| Practice Telephone | 3867173566 |
| Mailing Telephone | 3867173566 |
| Enumeration Date | 2018-02-04 |
| Last Update Date | 2018-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417347865 | Kristen Mendoza | Pharmacist | 14880 Skip Jack Loop, Lakewood Ranch, FL 34202-5870 | 2015-01-23 |
| 1841270410 | Kristen M Mendoza | Registered Nurse | 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859-5001 | 2006-01-19 |
| Street Address |
108 N COOPERS HAWK WAY |
| City | PALM COAST |
| State | FL |
| Zip Code | 32164-2312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063914968 | Jonathan F Mendoza | Specialist/Technologist | 108 N Coopers Hawk Way, Palm Coast, FL 32164-2312 | 2018-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561044 | Ereka Manangan | Pharmacist | 5000 E, Fl-100, Palm Coast, FL 32164 | 2020-09-01 |
| 1427661735 | George Allen Parker | Pharmacist | 5000 E Hwy 100, Palm Coast, FL 32164 | 2020-08-26 |
| 1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
| 1578101481 | Sweetie Peetie LLC | Hearing Instrument Specialist | 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 | 2019-12-11 |
| 1831656610 | Dolphin Medical Transport LLC | Taxi | 30 Westmoreland Dr, Palm Coast, FL 32164 | 2019-02-27 |
| 1003389024 | Southeast Snoring & Sleep Apnea Group | Durable Medical Equipment & Medical Supplies | 108 Pennacles Dr. #101, Palm Coast, FL 32164 | 2019-01-03 |
| 1801388137 | Lily Michelle King | Licensed Practical Nurse | 8 Regent Ln, Palm Coast, FL 32164 | 2018-06-01 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| Find all providers in zip 32164 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154875425 | Liane Dixon | Specialist/Technologist, Other | 1 Nantucket Dr, Palm Coast, FL 32137-2530 | 2016-08-04 |
| 1518383850 | Tara Lee Madison | Specialist/Technologist, Other | 97 Flagler Plaza Dr, Palm Coast, FL 32137-5965 | 2014-03-11 |
| 1134556566 | Joseph Robert Hogan | Specialist/Technologist, Other | 2 Rollins Ln, Palm Coast, FL 32164-6950 | 2013-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476029 | Lauren Elizabeth Linda | Specialist/Technologist, Other | 1110 Airport Blvd Ste B, Pensacola, FL 32504-8608 | 2020-08-10 |
| 1265067839 | Delmar Diagnostics LLC | Specialist/Technologist, Other | 1001 Brickell Bay Dr Ste 2700, Miami, FL 33131-4940 | 2020-03-04 |
| 1518458421 | Brittani Marie Brown | Specialist/Technologist, Other | 4851 Glenburne Dr, Spring Hill, FL 34609-0569 | 2018-05-25 |
| 1013416080 | Samantha Jane Roberts | Specialist/Technologist, Other | 163 W Bay Ave, Longwood, FL 32750 | 2018-02-06 |
| 1538668645 | Victoria Lopez | Specialist/Technologist, Other | 11624 Rouse Run Cir, Orlando, FL 32817-4554 | 2018-02-04 |
| 1982103149 | Kristy A Rattanavong I | Specialist/Technologist, Other | 450 Brentwood Club Cv, Longwood, FL 32750-3354 | 2018-02-02 |
| 1205377645 | Alyssa Franco | Specialist/Technologist, Other | 2400 Grand Poplar St, Ocoee, FL 34761-7642 | 2017-03-18 |
| 1497294086 | Roxanne Notte | Specialist/Technologist, Other | 2110 Bayberry Dr, Pembroke Pines, FL 33024-1405 | 2017-02-16 |
| 1750828810 | Maritza De La Caridad Hernandez Perez | Specialist/Technologist, Other | 444 Alemeda Dr, Palm Springs, FL 33461-1504 | 2017-01-27 |
| 1508300625 | Stacey Menard | Specialist/Technologist, Other | 415 Ne 2nd St Apt 120, Hallandale Beach, FL 33009-4363 | 2016-12-08 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32164 |
Please comment or provide details below to improve the information on MRS. KRISTEN M 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.