Active NPI
Neishma Medina, PSYCHOLOGY
- Prevention Professional
- Las Piedras, PR
National Provider Identifier
1225564313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 5492
- Practice address
- 206 Calle Emeterio Hernandez
Paseo de Los Artesanos
Las Piedras, PR 00771-9671 - Phone
- (939) 639-0388
- NPI assigned
- May 10, 2017
- 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 |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 5492 | PR | Primary |
Addresses
Primary practice location
206 Calle Emeterio Hernandez
Paseo de Los Artesanos
Las Piedras, PR 00771-9671
Mailing address
206 Calle Emeterio Hernandez
Paseo de Los Artesanos
Las Piedras, PR 00771-9671
Phone (939) 639-0388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5492 | Other | PR | LICENCIA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5492 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1225564313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 CALLE EMETERIO HERNANDEZ",
"address_2": "PASEO DE LOS ARTESANOS",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "007719671",
"telephone_number": "939-639-0388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 CALLE EMETERIO HERNANDEZ",
"address_2": "PASEO DE LOS ARTESANOS",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "007719671",
"telephone_number": "939-639-0388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "NEISHMA",
"credential": "PSYCHOLOGY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-10",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "PR",
"license": "5492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCIA",
"identifier": "5492",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Piedras, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.