Active NPI
Maricela Villasenor
- Nurse's Aide
- Des Moines, IA
National Provider Identifier
1508694050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 338911
- Practice address
- 1720 Indianola Ave Apt 209
Des Moines, IA 50315-7114 - Phone
- (206) 751-6461
- NPI assigned
- Jul 25, 2024
- Last updated
- Jul 25, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 338911 | IA | Primary |
Addresses
Primary practice location
1720 Indianola Ave Apt 209
Des Moines, IA 50315-7114
Mailing address
1720 Indianola Ave Apt 209
Des Moines, IA 50315-7114
Phone (206) 751-6461
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338911 | IA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1508694050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 INDIANOLA AVE APT 209",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503157114",
"telephone_number": "206-751-6461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 INDIANOLA AVE APT 209",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503157114",
"telephone_number": "206-751-6461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLASENOR",
"first_name": "MARICELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-25",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "IA",
"license": "338911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.