Active NPI
Florence Wanjiku Gitau, LPN
- General Practice Registered Nurse
- Mount Vernon, NY
National Provider Identifier
1063767929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 690121
- Practice address
- 30 Park Ave
Apt.3S
Mount Vernon, NY 10550-2145 - Phone
- (978) 328-6764
- NPI assigned
- Jul 17, 2012
- 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 |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 690121 | NY | Primary |
Addresses
Primary practice location
30 Park Ave
Apt.3S
Mount Vernon, NY 10550-2145
Mailing address
30 Park Ave Apt 4a
Mount Vernon, NY 10550-2153
Phone (978) 328-6764
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 |
|---|---|---|---|
| 690121 | NY | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acorn R. Home Care Services LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- New City, NY
- NPI 1699470013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1063767929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 PARK AVE APT 4A",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105502153",
"telephone_number": "978-328-6764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PARK AVE",
"address_2": "APT.3S",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105502145",
"telephone_number": "978-328-6764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GITAU",
"first_name": "FLORENCE",
"middle_name": "WANJIKU",
"name_prefix": "Miss",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-17",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "NY",
"license": "690121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.