Individual provider Active NPI

Amanda Mesa Lombardia

  • Behavior Technician
  • Lehigh Acres, FL
National Provider Identifier
1194592030
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
5624 8TH St W Ste 116
Lehigh Acres, FL 33971-6304
Phone
(239) 491-2194
NPI assigned
Dec 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

5624 8TH St W Ste 116
Lehigh Acres, FL 33971-6304

Mailing address

5361 Hawks Landing Dr Apt 308
Fort Myers, FL 33907-6667

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

Practice roles

OrganizationSpecialtyStatusNew patients
America Kids Hope Services Inc CurrentSince Jun 23, 2024 Accepting new patients
Stepping Stone Kids Therapy LLC PastSince May 1, 2024 Accepting new patients

Locations

5624 8th St W
Ste 116
Lehigh Acres, FL 33971
Phone (239) 491-2194

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1194592030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5361 HAWKS LANDING DR APT 308",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339076667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 8TH ST W STE 116",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716304",
            "telephone_number": "239-491-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESA LOMBARDIA",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.