ATHENA MICHELLE VALLEJO
NPI 1417659764
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since March 20, 2023PECOS Enrolled
1850 LAFAYETTE AVE APT 21E, BRONX, NY 10473(917) 935-1353 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Athena Michelle Vallejo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATHENA MICHELLE VALLEJO (NPI 1417659764) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417659764
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameATHENA MICHELLE VALLEJO
Location Address1850 LAFAYETTE AVE APT 21EBronx, NY 10473-2841
Mailing Address1850 Lafayette Ave Apt 21eBronx, NY 10473-2841 · (917) 935-1353
Sole ProprietorNo
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 20, 2023
✔ NPI 1417659764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1850 LAFAYETTE AVE APT 21E, Bronx, NY 10473

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Athena Michelle Vallejo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Athena Vallejo's NPI number?

The NPI number for Athena Vallejo is 1417659764. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Athena Vallejo located?

Athena Vallejo practices at 1850 Lafayette Ave Apt 21E, Bronx, NY 10473. The listed phone number is (917) 935-1353.

What is Athena Vallejo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Athena Vallejo enrolled in Medicare?

Yes. Athena Vallejo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Athena Vallejo was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.