Individual provider Active NPI

Teyanee Latavia Harewood, RN

  • Cardiac Rehabilitation Registered Nurse
  • Rochester, NY
National Provider Identifier
1083061162
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X
License
707940-1 Issued in NY
Practice address
418 Hayward Ave
Rochester, NY 14609
Phone
(585) 713-8778
NPI assigned
May 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered Nurse 163WC3500X 707940-1 NY Primary

Addresses

Primary practice location

418 Hayward Ave
Rochester, NY 14609

Mailing address

418 Hayward Ave
Rochester, NY 14609-6224
Phone (585) 713-8778

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

LicenseStateTypeSpecialty
707940-1NYMDCardiac Rehabilitation Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1083061162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 HAYWARD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146096224",
            "telephone_number": "585-713-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 HAYWARD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14609",
            "telephone_number": "585-713-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAREWOOD",
        "first_name": "TEYANEE",
        "middle_name": "LATAVIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "NY",
            "license": "707940-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.