Active NPI
Gail Sackett, RN
- School Registered Nurse
- Dix Hills, NY
National Provider Identifier
1063044170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 451341-1
- Practice address
- James E. Allen Learning Center
762 Deer Park Road
Dix Hills, NY 11746 - Phone
- (631) 667-2094
- Fax
- (631) 623-4931
- NPI assigned
- Feb 6, 2020
- Last updated
- Feb 6, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 451341-1 | NY | Primary |
Addresses
Primary practice location
James E. Allen Learning Center
762 Deer Park Road
Dix Hills, NY 11746
Mailing address
James E. Allen Learning Center
762 Deer Park Road
Dix Hills, NY 11746
Phone (631) 667-2094
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 451351 | Medicaid | NY | |
| 451341-1 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 451341-1 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1063044170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JAMES E. ALLEN LEARNING CENTER",
"address_2": "762 DEER PARK ROAD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "11746",
"telephone_number": "631-667-2094",
"fax_number": "631-623-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JAMES E. ALLEN LEARNING CENTER",
"address_2": "762 DEER PARK ROAD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "11746",
"telephone_number": "631-667-2094",
"fax_number": "631-623-4931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACKETT",
"first_name": "GAIL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-06",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "451341-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "451351",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "451341-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.