Active NPI
Yudelka Bueno
- Reflexologist
- Lynn, MA
National Provider Identifier
1982153300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- License
- 9776
- Practice address
- 199 N Common St
Lynn, MA 01905-2516 - Phone
- (978) 406-1307
- NPI assigned
- Sep 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | 9776 | MA | Primary |
Addresses
Primary practice location
199 N Common St
Lynn, MA 01905-2516
Mailing address
199 N Common St
Lynn, MA 01905-2516
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 |
|---|---|---|---|
| 9776 | MA | MD | Reflexologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1982153300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 N COMMON ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019052516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 N COMMON ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019052516",
"telephone_number": "978-406-1307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUENO",
"first_name": "YUDELKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "MA",
"license": "9776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.