Individual provider Active NPI

Abigail Mercedes, BSN-RN

  • General Practice Registered Nurse
  • Bronx, NY
National Provider Identifier
1023661592
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
87807 Issued in PR
Practice address
423F E 137TH St # 423F
Bronx, NY 10454-4067
Phone
(787) 629-3503
NPI assigned
Jul 23, 2019
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 87807 PR Primary

Addresses

Primary practice location

423F E 137TH St # 423F
Bronx, NY 10454-4067

Mailing address

423F E 137TH St # 423F
Bronx, NY 10454-4067

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
87807PRMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1023661592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423F E 137TH ST # 423F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423F E 137TH ST # 423F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104544067",
            "telephone_number": "787-629-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCEDES",
        "first_name": "ABIGAIL",
        "credential": "BSN-RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PR",
            "license": "87807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.