Darlenny Macedo-Villanueva

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1707 Cooks Hill Rd
Centralia, WA 98531-9071

Phone

(360) 261-6930

NPI assigned

Feb 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Educational Service District 113

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Raymond, WA
  • NPI 1285886655
  NPD (past)
• Educational Service District 113

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shelton, WA
  • NPI 1952437824
  NPD (past)

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1679229900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 RICHMOND AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985312553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 COOKS HILL RD",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319071",
            "telephone_number": "360-261-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEDO-VILLANUEVA",
        "first_name": "DARLENNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duong Dai Ly, DDS
• Lan Ly
• Ryan Caleb Maas
• Andrew J Maasdam, CRNA
• Christopher Maccausland, D.O.
• Tonya Arlene Mackey, MSW
• Alison F Macmillan, MD
• Lauren Macneely
• Kristen Ann Mahler, PHARMD
• Sam J Mailhot

• Peer Specialist in Centralia, WA
• Providers in Centralia, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.