Active NPI
Michele D Bernard
- Registered Nurse
- North Baldwin, NY
National Provider Identifier
1063955193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 580468-1
- Practice address
- 929 Centennial Ave
North Baldwin, NY 11510-1916 - Phone
- (516) 717-8240
- NPI assigned
- Nov 21, 2016
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 580468-1 | NY | Primary |
Addresses
Primary practice location
929 Centennial Ave
North Baldwin, NY 11510-1916
Mailing address
191 Lalue
Port Au Prince, DELMAS WI
HT
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 |
|---|---|---|---|
| 580468-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1063955193",
"addresses": [
{
"country_code": "HT",
"country_name": "Haiti",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "191 LALUE",
"city": "PORT AU PRINCE",
"state": "DELMAS",
"postal_code": "WI"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 CENTENNIAL AVE",
"city": "NORTH BALDWIN",
"state": "NY",
"postal_code": "115101916",
"telephone_number": "516-717-8240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARD",
"first_name": "MICHELE",
"middle_name": "D",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-21",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "580468-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.