Active NPI
Joan Marie Quevedo-Martinez
- Early Intervention Provider Agency
- Parkland, FL
National Provider Identifier
1407169667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Practice address
- 10963 NW 70TH CT
Parkland, FL 33076-3872 - Phone
- (561) 213-4757
- Fax
- (954) 206-0206
- NPI assigned
- Jul 16, 2010
- 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 |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
10963 NW 70TH CT
Parkland, FL 33076-3872
Mailing address
10963 NW 70TH CT
Parkland, FL 33076
Phone (561) 213-3747
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1407169667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10963 NW 70TH CT",
"city": "PARKLAND",
"state": "FL",
"postal_code": "33076",
"telephone_number": "561-213-3747",
"fax_number": "954-206-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10963 NW 70TH CT",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330763872",
"telephone_number": "561-213-4757",
"fax_number": "954-206-0206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEVEDO-MARTINEZ",
"first_name": "JOAN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-16",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parkland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.