Individual provider Active NPI

Nidia Deyanez, MD

  • Psychiatry Physician
  • Wilmington, DE
National Provider Identifier
1851371447
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C10002059 Issued in DE
Practice address
2401 Pennsylvania Ave
Ste 110
Wilmington, DE 19806-1401
Phone
(302) 655-2991
Fax
(302) 655-1944
NPI assigned
Jan 19, 2006
Last updated
Apr 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C10002059 DE Primary

Addresses

Primary practice location

2401 Pennsylvania Ave
Ste 110
Wilmington, DE 19806-1401

Mailing address

2401 Pennsylvania Ave
Ste 110
Wilmington, DE 19806-1401
Phone (302) 655-2991

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C10002059DEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J. Rafael Yanez, MD Nidia de Yanez, MD, PA PastSince Feb 1, 2008 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1851371447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE",
            "address_2": "STE 110",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061401",
            "telephone_number": "302-655-2991",
            "fax_number": "302-655-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PENNSYLVANIA AVE",
            "address_2": "STE 110",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061401",
            "telephone_number": "302-655-2991",
            "fax_number": "302-655-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYANEZ",
        "first_name": "NIDIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C10002059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.