Individual provider Active NPI

Sonia Monique Aguilar, CNA, PCA,MEDTECH,HHA

  • Nurse's Aide
  • Lake Havasu City, AZ
National Provider Identifier
1548723372
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
CNA1000043657 Issued in AZ
Practice address
3140 Kearsage Dr # F230
Lake Havasu City, AZ 86406-9086
Phone
(928) 706-7582
NPI assigned
Apr 9, 2019
Last updated
Apr 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X AZ
Home Health Aide 374U00000X AZ
Nurse's Aide 376K00000X CNA1000043657 AZ Primary

Addresses

Primary practice location

3140 Kearsage Dr # F230
Lake Havasu City, AZ 86406-9086

Mailing address

3140 Kearsage Dr # F230
Lake Havasu City, AZ 86406-9086
Phone (928) 706-7582

Other practice location 1

3140 Kearsage Dr # F230
Lake Havasu City, AZ 86406-9086
Phone (928) 706-7582

Other identifiers 1

IdentifierTypeStateIssuer
..OtherAZHEART TO HEART

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

LicenseStateTypeSpecialty
CNA1000043657AZMDNurse's Aide

Locations

1940 Mesquite Ave
Ste B1
Lake Havasu City, AZ 86403

NPI Registry JSON

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1548723372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 KEARSAGE DR # F230",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864069086",
            "telephone_number": "928-706-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 KEARSAGE DR # F230",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864069086",
            "telephone_number": "928-706-7582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3140 Kearsage Dr # F230",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864069086",
            "country_code": "US",
            "telephone_number": "928-706-7582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "SONIA",
        "middle_name": "MONIQUE",
        "credential": "CNA, PCA,MEDTECH,HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "AZ",
            "license": "CNA1000043657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEART TO HEART",
            "identifier": "..",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.