Individual provider Active NPI

Kenia Lisset Hechavarria

  • Home Health Aide
  • Miami, FL
National Provider Identifier
1770766560
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
57085 Issued in FL
Practice address
9545 SW 24TH St # 213
Miami, FL 33165-8075
Phone
(305) 228-4510
Fax
(305) 228-4510
NPI assigned
Dec 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 57085 FL Primary

Addresses

Primary practice location

9545 SW 24TH St # 213
Miami, FL 33165-8075

Mailing address

9545 SW 24TH St # 213
Miami, FL 33165-8075
Phone (305) 228-4510

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
57085FLMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1770766560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9545 SW 24TH ST # 213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331658075",
            "telephone_number": "305-228-4510",
            "fax_number": "305-228-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9545 SW 24TH ST # 213",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331658075",
            "telephone_number": "305-228-4510",
            "fax_number": "305-228-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECHAVARRIA",
        "first_name": "KENIA",
        "middle_name": "LISSET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "57085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.