Active NPI
Cristisha Guadapule Mercado Liriano
- Counselor
- Gloucester, MA
National Provider Identifier
1568005163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 25 Granite St Apt 1
Gloucester, MA 01930-3455 - Phone
- (978) 710-1537
- NPI assigned
- Oct 26, 2019
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
25 Granite St Apt 1
Gloucester, MA 01930-3455
Mailing address
25 Granite St Apt 1
Gloucester, MA 01930-3455
Phone (978) 710-1537
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B0118648400 | Other | MA | BOSTON MEDICAL CENTER (HNP) |
| 100052833033 | Other | MA | MASSHEALTH ID (BMC) |
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": "1572048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572048000000",
"number": "1568005163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 GRANITE ST APT 1",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019303455",
"telephone_number": "978-710-1537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 GRANITE ST APT 1",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019303455",
"telephone_number": "978-710-1537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO LIRIANO",
"first_name": "CRISTISHA",
"middle_name": "GUADAPULE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-26",
"last_updated": "2019-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON MEDICAL CENTER (HNP)",
"identifier": "B0118648400",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH ID (BMC)",
"identifier": "100052833033",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gloucester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.