Individual provider Active NPI

Carolina Sierra

  • Day Training/Habilitation Specialist
  • Waldorf, MD
National Provider Identifier
1760089676
Registry record updated Oct 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
License
7555 Issued in MD
Practice address
2230 Kay Hill Dr
Waldorf, MD 20601-2709
Phone
(787) 922-1268
NPI assigned
Oct 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X 7555 MD Primary

Addresses

Primary practice location

2230 Kay Hill Dr
Waldorf, MD 20601-2709

Mailing address

2230 Kay Hill Dr
Waldorf, MD 20601-2709
Phone (787) 922-1268

Other identifiers 1

IdentifierTypeStateIssuer
7755OtherMDSPECIAL EDUCATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL csierra1099@kidsinmotion1.net

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

LicenseStateTypeSpecialty
7555MDMDDay Training/Habilitation Specialist

NPI Registry JSON

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601769600000",
    "number": "1760089676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 KAY HILL DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012709",
            "telephone_number": "787-922-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 KAY HILL DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012709",
            "telephone_number": "787-922-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRA",
        "first_name": "CAROLINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "MD",
            "license": "7555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIAL EDUCATION",
            "identifier": "7755",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "csierra1099@kidsinmotion1.net",
            "affiliation": "N",
            "address_1": "2230 Kay Hill Dr",
            "city": "Waldorf",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206012709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.