Individual provider Active NPI

Madellyn Lisandra Reyes-Olapade

  • Clinical Social Worker
  • Wesley Chapel, FL
National Provider Identifier
1669085072
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
26829 Tanic Dr Ste 101
Wesley Chapel, FL 33544-4612
Phone
(813) 517-6089
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

26829 Tanic Dr Ste 101
Wesley Chapel, FL 33544-4612

Mailing address

26829 Tanic Dr Ste 101
Wesley Chapel, FL 33544-4612
Phone (813) 517-6089

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

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1669085072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26829 TANIC DR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444612",
            "telephone_number": "813-517-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26829 TANIC DR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444612",
            "telephone_number": "813-517-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-OLAPADE",
        "first_name": "MADELLYN",
        "middle_name": "LISANDRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.