EDITH MARIE MENDOZA NP
NPI 1720713969
Nurse Practitioner - Psychiatric/Mental Health in Southlake, TX

Active since July 21, 2022
2485 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092(817) 873-0590(817) 873-0591 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edith Marie Mendoza Np NPPES

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

EDITH MARIE MENDOZA NP (NPI 1720713969) is an individual psychiatric/mental health provider in Southlake, Texas, licensed in Texas (AP1088173) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1720713969
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEDITH MARIE MENDOZACredential: NP
Location Address2485 E SOUTHLAKE BLVD STE 100Southlake, TX 76092-6687
Mailing Address2485 E Southlake Blvd Ste 100Southlake, TX 76092-6687 · (817) 873-0590 · Fax (817) 873-0591
Fax(817) 873-0591
Sole ProprietorNo
Enumeration DateJuly 21, 2022
NPPES CertifiedJuly 21, 2022
NPI 1720713969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TX · AP1088173
2485 E SOUTHLAKE BLVD STE 100, Southlake, TX 76092

Other Identifiers 2

OtherAP1088173TX · Aprn
Other630874TX · Rn

Accepted Insurance

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
2485 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092

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 Edith Mendoza's NPI number?

The NPI number for Edith Mendoza is 1720713969. It was assigned to this individual provider in the NPPES registry on July 21, 2022.

Where is Edith Mendoza located?

Edith Mendoza practices at 2485 E Southlake Blvd Ste 100, Southlake, TX 76092. The listed phone number is (817) 873-0590.

What is Edith Mendoza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Edith Mendoza accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Edith Mendoza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edith Mendoza was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.