Maria Pedreira

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002049684 Issued in VA

Practice address

4926 W Broad St
Richmond, VA 23230-3122

Phone

(804) 673-5241

NPI assigned

Aug 29, 2021

Last updated

Aug 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1630195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630195200000",
    "number": "1417624156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 FORREST AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235051120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4926 W BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303122",
            "telephone_number": "804-673-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDREIRA",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-29",
        "last_updated": "2021-08-29",
        "certification_date": "2021-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002049684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Specialists for CJW LLC
• Pediatrix Medical Group
• Sheila Anne Pedigo, PHARM.D.
• Kimberly Schools Pedram, MD
• Sammy Pedram, M.D.
• Albert Pedroza
• Lee Peebles, LCSW
• Richard C Peebles II, MD
• Steven Franklin Peed, PH.D.
• Carolyn A Peel, M.D.

• Licensed Practical Nurse in Richmond, VA
• Providers in Richmond, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2021; 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.