Jannelly Nieves

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

135941 Issued in NY

Practice address

87 Columbia Street Apt 14F
New York, NY 10002

Phone

(917) 583-7461

NPI assigned

Jun 7, 2017

Sex

Female

Sole proprietor

Yes

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1346779980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 COLUMBIA ST APT 14F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100021913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 COLUMBIA STREET APT 14F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10002",
            "telephone_number": "917-583-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "JANNELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "135941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Milagros Nieves
• David Nieves
• Elizabeth Ashley Nieves, RN
• Inna Nieves
• Jacqueline Burgos Nieves
• Jeanette Nieves, CASAC-T
• Jonathan Nieves
• Marilyn Nieves, S.W.
• Nadia Nieves, PH.D.
• Sarah Lucas Nieves, OTR/L

• Early Intervention Provider Agency in New York, NY
• Providers in New York, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.