Andrea Suarez Jimeno

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

91 Memorial Park Ave
Lynn, MA 01902-2615

Phone

(781) 710-9964

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1851015911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MEMORIAL PARK AVE",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019022615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MEMORIAL PARK AVE",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019022615",
            "telephone_number": "781-710-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ JIMENO",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara L Strandwitz, PA-C
• Hailey Streble
• Joelle M Streich, RN
• Stuart G Merle & Alan Zicherman PC
• Christopher Thomas Stucchi, D.C.
• Alexandra Suarez Trinidad
• Jeremy Subervi
• Patricia Ann Suckley, RN
• Deborah Lee Suleyman, RN
• Maureen Sullivan-Hahn, RN

• Early Intervention Provider Agency in Lynn, MA
• Providers in Lynn, MA by specialty
• Early Intervention Provider Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.