Individual provider Active NPI

Anne Marie Vadeboncoeur

  • General Practice Registered Nurse
  • White Plains, NY
National Provider Identifier
1073325874
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
301368 Issued in NY
Practice address
1133 Westchester Ave Ste N-230
White Plains, NY 10604-3522
Phone
(914) 261-1324
NPI assigned
Jan 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 301368 NY Primary

Addresses

Primary practice location

1133 Westchester Ave Ste N-230
White Plains, NY 10604-3522

Mailing address

1133 Westchester Ave Ste N-230
White Plains, NY 10604-3522

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

LicenseStateTypeSpecialty
301368NYMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1073325874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 WESTCHESTER AVE STE N-230",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 WESTCHESTER AVE STE N-230",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106043522",
            "telephone_number": "914-261-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADEBONCOEUR",
        "first_name": "ANNE MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "301368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.