Individual provider Active NPI

Madeleini Lima Lopez

  • Behavior Technician
  • Tampa, FL
National Provider Identifier
1629661079
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-138977 Issued in FL
Practice address
4733 W Waters Ave Apt 1137
Tampa, FL 33614-1491
Phone
(786) 384-2496
NPI assigned
Feb 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-138977 FL Primary

Addresses

Primary practice location

4733 W Waters Ave Apt 1137
Tampa, FL 33614-1491

Mailing address

8373 Country Square CT
Tampa, FL 33615-1449
Phone (786) 384-2496

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-20-138977FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Little Blue Bees Behavior Therapy Services Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1629661079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8373 COUNTRY SQUARE CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151449",
            "telephone_number": "786-384-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4733 W WATERS AVE APT 1137",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141491",
            "telephone_number": "786-384-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMA LOPEZ",
        "first_name": "MADELEINI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-138977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.