Active NPI
Atrik Marlene Pineda
- Doula
- Providence, RI
National Provider Identifier
1093352213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 110 Progress Ave FL 2
Providence, RI 02909-3510 - Phone
- (401) 644-0441
- NPI assigned
- Dec 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
110 Progress Ave FL 2
Providence, RI 02909-3510
Mailing address
110 Progress Ave FL 2
Providence, RI 02909-3510
Phone (401) 644-0441
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SB870 | Other | RI | BLUE CROOS RI |
| ES01788 | Medicaid | RI | |
| 0614 | Other | RI | NHP RI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1093352213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 PROGRESS AVE FL 2",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029093510",
"telephone_number": "401-644-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 PROGRESS AVE FL 2",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029093510",
"telephone_number": "401-644-0441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINEDA",
"first_name": "ATRIK",
"middle_name": "MARLENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-06",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROOS RI",
"identifier": "SB870",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ES01788",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP RI",
"identifier": "0614",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.