Individual provider Active NPI

Kiara Dalisse Mercado Neris, MS-SLP

  • Speech-Language Pathologist
  • Vieques, PR
National Provider Identifier
1508402868
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4149 Issued in PR
Practice address
Calle Coral #101 Barrio Florida
Vieques, PR 00765
Phone
(787) 955-0969
NPI assigned
Nov 21, 2019
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4149 PR Primary

Addresses

Primary practice location

Calle Coral #101 Barrio Florida
Vieques, PR 00765

Mailing address

PO Box 439
Vieques, PR 00765-0439
Phone (787) 955-0969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240614003905 PR Practitioner - Pathology 9830632199 Reassigns benefits to 1 organization
I20240926004682 PR Practitioner - Qualified Speech Language Pathologist 9830632199 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Hearing Center Inc Speech-Language Pathologist CurrentSince Apr 30, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1508402868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 439",
            "city": "VIEQUES",
            "state": "PR",
            "postal_code": "007650439",
            "telephone_number": "787-955-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CORAL #101 BARRIO FLORIDA",
            "city": "VIEQUES",
            "state": "PR",
            "postal_code": "00765",
            "telephone_number": "787-955-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO NERIS",
        "first_name": "KIARA",
        "middle_name": "DALISSE",
        "credential": "MS-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vieques, PR

Sources for this page

Verify at the official NPI Registry.