Individual provider Active NPI

Maria Concepcion Landaverde, MEDICAL INTERPRETER

  • Interpreter
  • Federal Way, WA
National Provider Identifier
1871104398
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
InterpreterTaxonomy code 171R00000X
License
14920 Issued in WA
Practice address
4113 SW 321St St
Federal Way, WA 98023-2414
Phone
(253) 250-5547
Fax
(206) 260-7287
NPI assigned
Aug 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interpreter 171R00000X 14920 WA Primary

Addresses

Primary practice location

4113 SW 321St St
Federal Way, WA 98023-2414

Mailing address

4113 SW 321St St
Federal Way, WA 98023-2414
Phone (253) 250-5547

Other identifiers 2

IdentifierTypeStateIssuer
WDLBPN61C23BOtherWADRIVER LICENSE
14920OtherWADSHS INTERPRETER CERTIFICATION

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
14920WAMDInterpreter

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1871104398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 SW 321ST ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232414",
            "telephone_number": "253-250-5547",
            "fax_number": "206-260-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 SW 321ST ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232414",
            "telephone_number": "253-250-5547",
            "fax_number": "206-260-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAVERDE",
        "first_name": "MARIA",
        "middle_name": "CONCEPCION",
        "name_prefix": "Mrs.",
        "credential": "MEDICAL INTERPRETER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "WA",
            "license": "14920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "WDLBPN61C23B",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS INTERPRETER CERTIFICATION",
            "identifier": "14920",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.