Active NPI
Nurse Practitioners in Adult Health Services, PLLC
- Adult Health Nurse Practitioner
- Mineola, NY
National Provider Identifier
1053669614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 305624
- Legal business name
- NURSE PRACTITIONERS IN ADULT HEALTH SERVICES, PLLC
- Practice address
- 184 Old Country Road
First Floor
Mineola, NY 11501 - Phone
- (516) 361-2038
- Fax
- (516) 673-9553
- NPI assigned
- Aug 29, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Colleen Sheehan, NP
- Title
- Chief Financial Officer
- Phone
- (516) 361-2038
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 305624 | NY | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 305646 | NY |
Addresses
Primary practice location
184 Old Country Road
First Floor
Mineola, NY 11501
Mailing address
184 Old Country Road
First Floor
Mineola, NY 11501
Phone (516) 361-2038
National Provider Directory
National Provider DirectoryLocations
184 Old Country Rd
Ste 1
Mineola, NY 11501
Phone (516) 361-2038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346198400000",
"number": "1053669614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 OLD COUNTRY ROAD",
"address_2": "FIRST FLOOR",
"city": "MINEOLA",
"state": "NY",
"postal_code": "11501",
"telephone_number": "516-361-2038",
"fax_number": "516-673-9553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 OLD COUNTRY ROAD",
"address_2": "FIRST FLOOR",
"city": "MINEOLA",
"state": "NY",
"postal_code": "11501",
"telephone_number": "516-361-2038",
"fax_number": "516-673-9553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSE PRACTITIONERS IN ADULT HEALTH SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A",
"authorized_official_last_name": "SHEEHAN",
"authorized_official_first_name": "COLLEEN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "516-361-2038",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "305624",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "305646",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.