Active NPI
Misty Lyn Neville, ADCS
- Counselor
- Riverside, CA
National Provider Identifier
1619122256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 8310 Baxter Way
Riverside, CA 92504-4302 - Phone
- (951) 689-9366
- NPI assigned
- Nov 24, 2008
- Last updated
- Nov 24, 2008
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
8310 Baxter Way
Riverside, CA 92504-4302
Mailing address
8310 Baxter Way
Riverside, CA 92504-4302
Phone (951) 689-9366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33352 | Other | CA | DRUG MEDI-CAL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ywca Born Free | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Riverside, CA
- NPI 1841358561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1619122256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8310 BAXTER WAY",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925044302",
"telephone_number": "951-689-9366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8310 BAXTER WAY",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925044302",
"telephone_number": "951-689-9366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVILLE",
"first_name": "MISTY",
"middle_name": "LYN",
"credential": "ADCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRUG MEDI-CAL",
"identifier": "33352",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.