Active NPI
Patricia Mejia
- Social Worker
- Grand Rapids, MI
National Provider Identifier
1346776093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1115 Ball Ave NE
Building B
Grand Rapids, MI 49505-5904 - Phone
- (616) 451-3001
- NPI assigned
- May 2, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1115 Ball Ave NE
Building B
Grand Rapids, MI 49505-5904
Mailing address
2413 Walker Woods CT NW
Grand Rapids, MI 49544-1489
Phone (616) 366-7475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1951 NW 7TH Ave
FL 3
Miami, FL 33136-1104
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brave Health Medical Group PA | Current | Accepting new patients |
Locations
1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749
Organizations & group practices 1
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": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1346776093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2413 WALKER WOODS CT NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495441489",
"telephone_number": "616-366-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 BALL AVE NE",
"address_2": "BUILDING B",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495055904",
"telephone_number": "616-451-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-02",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.