Active NPI
Carmen P Ladera, M.S E.D BEHAVIORIST
- Behavior Analyst
- Nashville, TN
National Provider Identifier
1073013223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 3203 Brick Church Pike
Nashville, TN 37207 - Phone
- (615) 521-2446
- NPI assigned
- Feb 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
3203 Brick Church Pike
Nashville, TN 37207
Mailing address
PO Box 4060
Brentwood, TN 37024-4060
Other practice location 1
9001 Miller Rd Ste 5
Swartz Creek, MI 48473-1115
Phone (615) 521-2446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1073013223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4060",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370244060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3203 BRICK CHURCH PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37207",
"telephone_number": "615-521-2446"
}
],
"practiceLocations": [
{
"address_1": "9001 Miller Rd Ste 5",
"address_purpose": "LOCATION",
"city": "Swartz Creek",
"state": "MI",
"postal_code": "484731115",
"country_code": "US",
"telephone_number": "615-521-2446",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LADERA",
"first_name": "CARMEN",
"middle_name": "P",
"credential": "M.S E.D BEHAVIORIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-14",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.