Active NPI
Nakinya Jeanelle Allen
- Developmental Disabilities Clinic/Center
- Vero Beach, FL
National Provider Identifier
1639614985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- License
- 261QD1600X
- Practice address
- 1565 15TH Cir SW
Vero Beach, FL 32962-5300 - Phone
- (772) 453-7279
- NPI assigned
- Dec 22, 2016
- 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 |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | 261QD1600X | FL | Primary |
Addresses
Primary practice location
1565 15TH Cir SW
Vero Beach, FL 32962-5300
Mailing address
1565 15TH Cir SW
Vero Beach, FL 32962-5300
Phone (772) 453-7279
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
| License | State | Type | Specialty |
|---|---|---|---|
| 261QD1600X | FL | MD | Developmentally Disabled Services Day Training Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482364800000",
"number": "1639614985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 15TH CIR SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329625300",
"telephone_number": "772-453-7279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1565 15TH CIR SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329625300",
"telephone_number": "772-453-7279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "NAKINYA",
"middle_name": "JEANELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-22",
"last_updated": "2016-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": "FL",
"license": "261QD1600X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.