1770829277 NPI number — MRS. CINTHIA DAYANARA PINEDA NP-C

Table of content: MRS. CINTHIA DAYANARA PINEDA NP-C (NPI 1770829277)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770829277 NPI number — MRS. CINTHIA DAYANARA PINEDA NP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PINEDA
Provider First Name:
CINTHIA
Provider Middle Name:
DAYANARA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
NP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770829277
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/12/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
808 EMERALD PARK DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WINTERVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28590-3405
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-864-1431
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2573 STANTONSBURG RD STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27834-7213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-248-5978
Provider Business Practice Location Address Fax Number:
252-751-6331
Provider Enumeration Date:
01/02/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , with the licence number:  5006005 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 5006005 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: NCB730A . This is a "PTAN" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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