Shayrika Iris Abreu

Key facts

NPI

1295489201

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Social Worker 1041C0700X

License

0904013330 (VA)

Practice address

3504 Forest Spring CT
Lexington, KY 40509-2080

Phone

(347) 419-2445

NPI assigned

Feb 8, 2022

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 8, 2022.

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1295489201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 FOREST SPRING CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092080",
            "telephone_number": "347-419-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 FOREST SPRING CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092080",
            "telephone_number": "347-419-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABREU",
        "first_name": "SHAYRIKA",
        "middle_name": "IRIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Lexington, KY · Clinical Social Worker in Kentucky