Individual provider Active NPI

Colette Lemaistre

  • Licensed Practical Nurse
  • Merrick, NY
National Provider Identifier
1023297041
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
194903-1 Issued in NY
Practice address
2856 Frankel Blvd
Merrick, NY 11566-5432
Phone
(516) 992-2570
NPI assigned
Oct 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 194903-1 NY Primary

Addresses

Primary practice location

2856 Frankel Blvd
Merrick, NY 11566-5432

Mailing address

138 Covert Ave
Apt. K1
Stewart Manor, NY 11530-4909
Phone (516) 705-5865

Other identifiers 1

IdentifierTypeStateIssuer
DU54420DMedicaidNY

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
194903-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1023297041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 COVERT AVE",
            "address_2": "APT. K1",
            "city": "STEWART MANOR",
            "state": "NY",
            "postal_code": "115304909",
            "telephone_number": "516-705-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2856 FRANKEL BLVD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115665432",
            "telephone_number": "516-992-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMAISTRE",
        "first_name": "COLETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "194903-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DU54420D",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.