NPI age
3 years
Enumerated 2022-07-21
● Active
Type 1 · Individual
Edith Marie Mendoza, NP
Mendoza is 1 of 49 nurse practitioner providers in Southlake and 1 of 5095 in Texas.
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5095 active nurse practitioner providers in Texas.
NPI age
3 years
≈ at median (4 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-07Enumerated in NPPES
2022
2026
Where they practice
Practice location
2485 E Southlake Blvd Ste 100
Southlake, TX 760926687
Mailing address
2485 E Southlake Blvd Ste 100
Southlake, TX 760926687
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | AP1088173 | APRN |
| 01 (TX) | 630874 | RN |
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new nurse practitioner providers have been added in Southlake in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.