Active NPI
Martha Jimena Espinosa
- Social Worker
- Lakeland, FL
National Provider Identifier
1639751787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ISW4479
- Practice address
- 3086 Pearly Dr
Lakeland, FL 33812-5200 - Phone
- (239) 771-6311
- NPI assigned
- Apr 27, 2021
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | ISW4479 | FL | Primary |
Addresses
Primary practice location
3086 Pearly Dr
Lakeland, FL 33812-5200
Mailing address
3086 Pearly Dr
Lakeland, FL 33812-5200
Phone (239) 771-6311
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 |
|---|---|---|---|
| ISW4479 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1639751787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3086 PEARLY DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338125200",
"telephone_number": "239-771-6311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3086 PEARLY DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338125200",
"telephone_number": "239-771-6311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPINOSA",
"first_name": "MARTHA",
"middle_name": "JIMENA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-27",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "ISW4479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.