SAMUEL MENDEZ LPN, QBHP
NPI 1376029009
Licensed Practical Nurse in Fort Smith, AR

Active since July 16, 2018
3111 S 70TH ST, FORT SMITH, AR 72903(479) 452-6650(479) 452-5847 Get Directions Write a Review

NPPES record last updated: July 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel Mendez Lpn, Qbhp NPPES

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

SAMUEL MENDEZ LPN, QBHP (NPI 1376029009) is an individual licensed practical nurse in Fort Smith, Arkansas, licensed in Arkansas (L056222) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1376029009
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameSAMUEL MENDEZCredential: LPN, QBHP
Location Address3111 S 70TH STFort Smith, AR 72903-5017
Mailing AddressPo Box 11818Fort Smith, AR 72917-1818 · (479) 452-6650 · Fax (479) 452-5847
Fax(479) 452-5847
Sole ProprietorNo
Enumeration DateJuly 16, 2018
NPI 1376029009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in AR · L056222
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License QBPH (AR)
3111 S 70TH ST, Fort Smith, AR 72903

Other Providers at the Same Location NPPES 20

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

Licensed Practical Nurse
3111 S 70TH ST
FORT SMITH, AR 72903
Counselor (Mental Health)
3111 S 70TH ST
FORT SMITH, AR 72903
Peer Specialist
3111 S 70TH ST
FORT SMITH, AR 72903
Case Manager/Care Coordinator
3111 S 70TH ST
FORT SMITH, AR 72903
Case Manager/Care Coordinator
3111 S 70TH ST
FORT SMITH, AR 72903
Peer Specialist
3111 S 70TH ST
FORT SMITH, AR 72903
Psychologist (Clinical)
3111 S 70TH ST
FORT SMITH, AR 72903
Counselor (Mental Health)
3111 S 70TH ST
FORT SMITH, AR 72903

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 Samuel Mendez's NPI number?

The NPI number for Samuel Mendez is 1376029009. It was assigned to this individual provider in the NPPES registry on July 16, 2018.

Where is Samuel Mendez located?

Samuel Mendez practices at 3111 S 70th St, Fort Smith, AR 72903. The listed phone number is (479) 452-6650.

What is Samuel 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 Samuel Mendez was last updated on July 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.