Active NPI
Shara Jahzeel Lopez
- Behavior Technician
- Cutler Bay, FL
National Provider Identifier
1891529285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 23-301704
- Practice address
- 20740 Old Cutler Road
Cutler Bay, FL 33189-3319 - Phone
- (305) 859-1590
- NPI assigned
- Aug 28, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 23-301704 | FL | Primary |
Addresses
Primary practice location
20740 Old Cutler Road
Cutler Bay, FL 33189-3319
Mailing address
29600 SW 165TH CT
Homestead, FL 33033-3211
Phone (786) 650-5737
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23-301704 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1891529285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29600 SW 165TH CT",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330333211",
"telephone_number": "786-650-5737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20740 OLD CUTLER ROAD",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331893319",
"telephone_number": "305-859-1590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "SHARA",
"middle_name": "JAHZEEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-28",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "23-301704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.