Healthcare Provider Details

I. General information

NPI: 1174199145
Provider Name (Legal Business Name): TERESA ANN MENDEZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS TERESA ANN D'ALESSANDRO

II. Dates (important events)

Enumeration Date: 06/01/2021
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 DESALES AVE STE F1009
CHATTANOOGA TN
37404-1161
US

IV. Provider business mailing address

2525 DESALES AVE STE F1009
CHATTANOOGA TN
37404-1161
US

V. Phone/Fax

Practice location:
  • Phone: 423-697-2000
  • Fax: 423-697-2320
Mailing address:
  • Phone: 423-697-2000
  • Fax: 423-697-2320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberGAA-NP000074
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberGAA-NP000074
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberGAA-NP000074
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberGAA-NP000074
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberGAA-NP000074
License Number StateGA
# 6
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number028519
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: