Bernadette Favard

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

324400 Issued in NY

Practice address

140 Beach 114Street
Promenaden Ursing Home
Rockaway Park,, NY 11694

Phone

(646) 353-3209

NPI assigned

Dec 29, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1083079446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BEACH 114 STREET",
            "address_2": "PROMENADE NURSING HOME",
            "city": "ROCKAWAY PARK,NY",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "718-945-4600",
            "fax_number": "718-634-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BEACH 114STREET",
            "address_2": "PROMENADEN URSING HOME",
            "city": "ROCKAWAY PARK,",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "646-353-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVARD",
        "first_name": "BERNADETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "324400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Epic Speech Therapy, PLLC
• Episcopal Health Services Inc
• Nadezhda Epshteyn, COTA
• Equinox Health Medical PC
• Jacqueline Marie Esposito, BCBA
• Marvin Feinstein, OD
• Josephine Fitzpatrick
• Danielle Flanigan, MD
• Tracia Shauna Fogarthy, LPN
• Lloyd G Forbes

• Licensed Practical Nurse in Rockaway Park,, NY
• Providers in Rockaway Park,, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.