Individual provider Active NPI

Janice Padilla

  • Nutritionist
  • Toa Alta, PR
National Provider Identifier
1891217733
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1561 Issued in PR
Practice address
54 Monte Real
Villa del Monte
Toa Alta, PR 00953-3575
Phone
(787) 213-2801
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietetic Technician 136A00000X 954248 PR
Nutritionist 133N00000X 1561 PR Primary

Addresses

Primary practice location

54 Monte Real
Villa del Monte
Toa Alta, PR 00953-3575

Mailing address

54 Monte Real
Villa del Monte
Toa Alta, PR 00953-3575
Phone (787) 213-2801

Other names 1

  • Janice Padilla Professional name

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
1561PRMDGeneral Practice Dentistry
954248PRMDRegistered Dietetic Technician

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891217733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MONTE REAL",
            "address_2": "VILLA DEL MONTE",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009533575",
            "telephone_number": "787-213-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 MONTE REAL",
            "address_2": "VILLA DEL MONTE",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009533575",
            "telephone_number": "787-213-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "JANICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "PR",
            "license": "954248",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "PADILLA",
            "credential": "LND",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.