Active NPI
Cristian Noel Garcia, MBA
- Counselor
- Providence, RI
National Provider Identifier
1407568652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 355 Prairie Ave
Providence, RI 02905-1928 - Phone
- (401) 921-8654
- NPI assigned
- Dec 20, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | RI | Primary |
Addresses
Primary practice location
355 Prairie Ave
Providence, RI 02905-1928
Mailing address
355 Prairie Ave
Providence, RI 02905-1928
Phone (401) 921-8654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3516566 | Medicaid | RI |
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
- Credentials
- Master of Business Administration
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1407568652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 PRAIRIE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029051928",
"telephone_number": "401-921-8654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 PRAIRIE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029051928",
"telephone_number": "401-921-8654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "CRISTIAN",
"middle_name": "NOEL",
"credential": "MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-20",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "RI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3516566",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.