Long Island Adult Health NP, PLLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F304135-1

Legal business name

LONG ISLAND ADULT HEALTH NP, PLLC

Practice address

16 Pine Hill LN
Dix Hills, NY 11746-6526

Phone

(631) 278-3805

Fax

(631) 254-0721

NPI assigned

Jul 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kenya Beard, NP-C EDD

Title

Owner/President

Phone

(631) 278-3805

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1013295906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PINE HILL LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466526",
            "telephone_number": "631-278-3805",
            "fax_number": "631-254-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PINE HILL LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466526",
            "telephone_number": "631-278-3805",
            "fax_number": "631-254-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND ADULT HEALTH NP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-27",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "631-278-3805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP-C EDD"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": "F304135-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.