Idamaris Vega, B. A.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

511 E Columbus Ave
Springfield, MA 01105-2506

Phone

(413) 827-8959

NPI assigned

Dec 30, 2015

Reactivated

Nov 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1598120909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HIGH ST STE 230",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051435",
            "telephone_number": "413-885-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E COLUMBUS AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011052506",
            "telephone_number": "413-827-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "IDAMARIS",
        "credential": "B. A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2020-12-04",
        "certification_date": "2020-11-20",
        "deactivation_date": "2020-09-18",
        "reactivation_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suneel Veerwani, M.D.,
• Joamely Vega Burgos
• Stephanie Janice Vega Cintron
• Ivan J Vega Figueroa
• Brianna Vega
• Jacqueline Vega
• Jennifer Marie Vega, M.S.
• Jeremy A Vega
• Magaly Vega
• Rachel Vega, PHD

• Community Health Worker in Springfield, MA
• Providers in Springfield, MA by specialty
• Community Health Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.