Active NPI
Hamelie Desty
- Licensed Practical Nurse
- New York, NY
National Provider Identifier
1053551960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 274966-1
- Practice address
- 300 W 129TH St
Apt 4B
New York, NY 10027-1800 - Phone
- (646) 320-3179
- NPI assigned
- Mar 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 274966-1 | NY | Primary |
Addresses
Primary practice location
300 W 129TH St
Apt 4B
New York, NY 10027-1800
Mailing address
300 W 129TH St
Apt 4B
New York, NY 10027-1800
Phone (646) 320-3179
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
| License | State | Type | Specialty |
|---|---|---|---|
| 274966-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236211200000",
"number": "1053551960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W 129TH ST",
"address_2": "APT 4B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100271800",
"telephone_number": "646-320-3179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W 129TH ST",
"address_2": "APT 4B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100271800",
"telephone_number": "646-320-3179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESTY",
"first_name": "HAMELIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-05",
"last_updated": "2009-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "274966-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.