Active NPI
Tania Lopez
- Specialist
- Lake Worth, FL
National Provider Identifier
1992919385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1906 N a St
Lake Worth, FL 33460-6002 - Phone
- (561) 541-1387
- Fax
- (561) 540-5491
- NPI assigned
- May 9, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1906 N a St
Lake Worth, FL 33460-6002
Mailing address
1906 N a St
Lake Worth, FL 33460-6002
Phone (561) 541-1387
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222Q00000X | Medicaid | FL |
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": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992919385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1906 N A ST",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334606002",
"telephone_number": "561-541-1387",
"fax_number": "561-540-5491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 N A ST",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334606002",
"telephone_number": "561-541-1387",
"fax_number": "561-540-5491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "TANIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "222Q00000X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.