Individual provider Active NPI

Amairani Velez-Ramos

  • Peer Specialist
  • Palm Desert, CA
National Provider Identifier
1164067401
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-FRDGVY Issued in CA
Practice address
41990 Cook St Ste 801a
Palm Desert, CA 92211-6103
Phone
(442) 666-3217
NPI assigned
Nov 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MPSS-FRDGVY CA Primary

Addresses

Primary practice location

41990 Cook St Ste 801a
Palm Desert, CA 92211-6103

Mailing address

41990 Cook St BLDG I 801a
Palm Desert, CA 92211-6103
Phone (442) 666-3217

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL amairani.velez-ramos@thementornetwork.com Direct

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

State licenses

LicenseStateTypeSpecialty
MPSS-FRDGVYCAMDPeer Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1164067401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41990 COOK ST BLDG I 801A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116103",
            "telephone_number": "442-666-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41990 COOK ST STE 801A",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116103",
            "telephone_number": "442-666-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ-RAMOS",
        "first_name": "AMAIRANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-FRDGVY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amairani.velez-ramos@thementornetwork.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "41990 Cook St Ste 801A",
            "city": "Palm Desert",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922116103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.