Active NPI
Destiny Pineda
- Developmental Disabilities Clinic/Center
- Tampa, FL
National Provider Identifier
1467106013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Practice address
- 4711 W Waters Ave Apt 701
Tampa, FL 33614-1425 - Phone
- (813) 808-7185
- NPI assigned
- Feb 11, 2022
- 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 |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | FL | Primary |
Addresses
Primary practice location
4711 W Waters Ave Apt 701
Tampa, FL 33614-1425
Mailing address
30126 Fedora Cir
Brooksville, FL 34602-4504
Phone (813) 808-7185
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": "1644537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1467106013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30126 FEDORA CIR",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346024504",
"telephone_number": "813-808-7185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4711 W WATERS AVE APT 701",
"city": "TAMPA",
"state": "FL",
"postal_code": "336141425",
"telephone_number": "813-808-7185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINEDA",
"first_name": "DESTINY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.