Provider Demographics
NPI:1801693023
Name:PINEDA, ERICKA
Entity type:Individual
Prefix:
First Name:ERICKA
Middle Name:
Last Name:PINEDA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:847 BERKSHIRE DR APT 8
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-3256
Mailing Address - Country:US
Mailing Address - Phone:301-346-1752
Mailing Address - Fax:
Practice Address - Street 1:847 BERKSHIRE DR APT 8
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783-3256
Practice Address - Country:US
Practice Address - Phone:301-346-1752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant