Individual provider Active NPI

Priscilla A. Severe, RN(REGISTERED NURSE)

  • Registered Nurse
  • Mount Vernon, NY
National Provider Identifier
1003203266
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
701089-1 Issued in NY
Practice address
9 West Prospect Avenue, Suite 310
Mount Vernon, NY 10550
Phone
(914) 699-0022
Fax
(914) 699-2154
NPI assigned
Apr 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 315747 NY
Registered Nurse 163W00000X 701089-1 NY Primary

Addresses

Primary practice location

9 West Prospect Avenue, Suite 310
Mount Vernon, NY 10550

Mailing address

9 West Prospect Avenue, Suite 310
Mount Vernon, NY 10550
Phone (914) 699-0022

Other names 1

  • Priscilla A Severe Other name

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

LicenseStateTypeSpecialty
701089-1NYMDRegistered Nurse
315747NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Home Health Care Inc Past Accepting new patients
Absolute Home Health Care Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1003203266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WEST PROSPECT AVENUE, SUITE 310",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "10550",
            "telephone_number": "914-699-0022",
            "fax_number": "914-699-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WEST PROSPECT AVENUE, SUITE 310",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "10550",
            "telephone_number": "914-699-0022",
            "fax_number": "914-699-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERE",
        "first_name": "PRISCILLA",
        "middle_name": "A.",
        "credential": "RN(REGISTERED NURSE)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "315747",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "701089-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRISCILLA",
            "last_name": "SEVERE",
            "middle_name": "A",
            "credential": "RN (REGISTERED NURSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.