Active NPI
Veniece Mellissa Hernandez-Ceballos, R.N.
- Non-emergency Medical Transport (VAN)
- Monitor, WA
National Provider Identifier
1811294572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 603085613
- Practice address
- 3263 Allyn LN
Monitor, WA 98815 - Phone
- (509) 782-1718
- Fax
- (509) 782-1718
- NPI assigned
- Feb 16, 2011
- Last updated
- Feb 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 603085613 | WA | Primary |
Addresses
Primary practice location
3263 Allyn LN
Monitor, WA 98815
Mailing address
PO Box 477
Monitor, WA 98836-0477
Phone (509) 782-1718
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 603085613 | WA | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297814400000",
"number": "1811294572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 477",
"city": "MONITOR",
"state": "WA",
"postal_code": "988360477",
"telephone_number": "509-782-1718",
"fax_number": "509-782-1718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3263 ALLYN LN",
"city": "MONITOR",
"state": "WA",
"postal_code": "98815",
"telephone_number": "509-782-1718",
"fax_number": "509-782-1718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ-CEBALLOS",
"first_name": "VENIECE",
"middle_name": "MELLISSA",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-16",
"last_updated": "2011-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "WA",
"license": "603085613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monitor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.