Nina Nicole Vallecillo, RT

Primary specialty

Cardiovascular-Interventional Technology Radiologic TechnologistTaxonomy code 2471C1101X

License

R0007012 Issued in MD

Practice address

10 N Greene St
Baltimore, MD 21201-1524

Phone

(410) 935-6786

NPI assigned

Jun 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1255851101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10709 MEYERS LN",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211621927",
            "telephone_number": "410-935-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011524",
            "telephone_number": "410-935-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLECILLO",
        "first_name": "NINA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C1101X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Cardiovascular-Interventional Technology",
            "state": "MD",
            "license": "R0007012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Frances Valle, C.R.N.P.
• Michelle Angelee Valle
• Paul A Valle Jr., M.D.
• Geneses Vallecillo Serrano
• Jorge Vallecillo, M.D.
• Valley Bridge House, Inc.
• Valley Bridge House, Inc.
• Valley Psychiatry and Wellness Clinic LLC
• Annemarie Vallonga, LCSW-C
• Michael George Valois, PA-C

• Radiologic Technologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Radiologic Technologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.