Active NPI
Nicole Agosto
- Other Technician
- Kissimmee, FL
National Provider Identifier
1932642311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 3531 Dovetail Ave
Kissimmee, FL 34741-2940 - Phone
- (407) 460-0234
- NPI assigned
- Dec 2, 2016
- Last updated
- Dec 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
3531 Dovetail Ave
Kissimmee, FL 34741-2940
Mailing address
3531 Dovetail Ave
Kissimmee, FL 34741-2940
Phone (407) 460-0234
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1932642311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3531 DOVETAIL AVE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347412940",
"telephone_number": "407-460-0234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3531 DOVETAIL AVE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347412940",
"telephone_number": "407-460-0234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGOSTO",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-02",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.