Individual provider Active NPI

Maria Cecelia Robles

  • Case Manager/Care Coordinator
  • Winter Haven, FL
National Provider Identifier
1578079505
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
350 24TH St NW Apt B102
Winter Haven, FL 33880-2265
Phone
(321) 230-1984
NPI assigned
Dec 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary
Behavior Technician 106S00000X RBT-17-44003 AL

Addresses

Primary practice location

350 24TH St NW Apt B102
Winter Haven, FL 33880-2265

Mailing address

350 24TH St NW Apt B102
Winter Haven, FL 33880-2265
Phone (321) 230-1984

Other practice location 1

4402 Riverchase Dr Apt 4412
Phenix City, AL 36867-7557
Phone (321) 230-1984

Other names 1

  • Mrs. Maria Cecelia Dimichele Former name

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
RBT-17-44003ALMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1578079505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 24TH ST NW APT B102",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338802265",
            "telephone_number": "321-230-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 24TH ST NW APT B102",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338802265",
            "telephone_number": "321-230-1984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4402 Riverchase Dr Apt 4412",
            "address_purpose": "LOCATION",
            "city": "Phenix City",
            "state": "AL",
            "postal_code": "368677557",
            "country_code": "US",
            "telephone_number": "321-230-1984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "MARIA",
        "middle_name": "CECELIA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": "RBT-17-44003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "DIMICHELE",
            "middle_name": "CECELIA",
            "prefix": "MRS.",
            "credential": "RBT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.