Active NPI
Lourdes Nieves, MD, FAAP
- Specialist
- West Palm Beach, FL
National Provider Identifier
1124008669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 49550
- Practice address
- 2070 S Military TRL
West Palm Beach, FL 33415-6409 - Phone
- (561) 968-8462
- Fax
- (561) 721-1342
- NPI assigned
- Jan 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 49550 | FL | Primary |
Addresses
Primary practice location
2070 S Military TRL
West Palm Beach, FL 33415-6409
Mailing address
4280 Hunting TRL
Lake Worth, FL 33467-3518
Phone (561) 968-8462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046565800 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49550 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1124008669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4280 HUNTING TRL",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334673518",
"telephone_number": "561-968-8462",
"fax_number": "561-721-1342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2070 S MILITARY TRL",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334156409",
"telephone_number": "561-968-8462",
"fax_number": "561-721-1342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "LOURDES",
"name_prefix": "Dr.",
"credential": "MD, FAAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "49550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046565800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.