Active NPI
Mayda V Lopez, CNA
- Licensed Practical Nurse
- Kissimmee, FL
National Provider Identifier
1679892970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- CNA183851
- Practice address
- 214 E Oak St
Kissimmee, FL 34744-4535 - Phone
- (407) 575-4636
- NPI assigned
- May 26, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | CNA183851 | FL | Primary |
Addresses
Primary practice location
214 E Oak St
Kissimmee, FL 34744-4535
Mailing address
2309 Santa Ana St
Kissimmee, FL 34743-3338
Phone (407) 873-0983
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 |
|---|---|---|---|
| CNA183851 | FL | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274918400000",
"number": "1679892970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2309 SANTA ANA ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347433338",
"telephone_number": "407-873-0983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E OAK ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444535",
"telephone_number": "407-575-4636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MAYDA",
"middle_name": "V",
"name_prefix": "Mrs.",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-26",
"last_updated": "2010-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "CNA183851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.