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MS. TRACEY ANN MENDEZ LPN
NPI 1073855839
Licensed Practical Nurse in Constantia, NY

Active since March 20, 2013
175 KIBBIE LAKE RD, CONSTANTIA, NY 13044(315) 708-4316 Get Directions Write a Review

NPPES record last updated: March 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Tracey Ann Mendez Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TRACEY ANN MENDEZ LPN (NPI 1073855839) is an individual licensed practical nurse in Constantia, New York, licensed in New York (214879-1) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1073855839
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. TRACEY ANN MENDEZCredential: LPN
Location Address175 KIBBIE LAKE RDConstantia, NY 13044-2760
Mailing Address175 Kibbie Lake RdConstantia, NY 13044-2760 · (315) 708-4316
Phone(315) 708-4316
Sole ProprietorYes
Enumeration DateMarch 20, 2013
✔ NPI 1073855839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 214879-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
175 KIBBIE LAKE RD, Constantia, NY 13044
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MELISSA MARIE MENDEZ LPN
Licensed Practical Nurse
175 KIBBIE LAKE RD
CONSTANTIA, NY 13044
Oswego County (315) 708-3602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracey Mendez's NPI number?

The NPI number for Tracey Mendez is 1073855839. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is Tracey Mendez located?

Tracey Mendez practices at 175 Kibbie Lake Rd, Constantia, NY 13044. The listed phone number is (315) 708-4316.

What is Tracey Mendez's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Tracey Mendez was last updated on March 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.