Individual provider Active NPI

Patricia Ann Speirs, RN

  • General Practice Registered Nurse
  • Merrick, NY
National Provider Identifier
1033487368
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
318722-1 Issued in NY
Practice address
2116 Merrick Ave
Suite 2002
Merrick, NY 11566-3457
Phone
(516) 867-7042
Fax
(516) 379-0612
NPI assigned
Dec 1, 2011
Last updated
Dec 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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 318722-1 NY Primary

Addresses

Primary practice location

2116 Merrick Ave
Suite 2002
Merrick, NY 11566-3457

Mailing address

71 Azalea Rd
Levittown, NY 11756-2300
Phone (516) 579-9033

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
318722-1NYMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1033487368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 AZALEA RD",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117562300",
            "telephone_number": "516-579-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 MERRICK AVE",
            "address_2": "SUITE 2002",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663457",
            "telephone_number": "516-867-7042",
            "fax_number": "516-379-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEIRS",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "318722-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 1, 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.