Individual provider Active NPI

Eve Usawasdi, WHNP-BC

  • Women's Health Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1083168637
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F421223 Issued in NY
Practice address
2802 141St St
Apt. 5E
Flushing, NY 11354-1672
Phone
(646) 704-1086
NPI assigned
Aug 12, 2016
Last updated
Aug 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F421223 NY Primary

Addresses

Primary practice location

2802 141St St
Apt. 5E
Flushing, NY 11354-1672

Mailing address

2802 141St St
Apt. 5E
Flushing, NY 11354-1672
Phone (646) 704-1086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200120000359 NY Practitioner - Nurse Practitioner 7618302720 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F421223NYMDWomen's Health Nurse Practitioner

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1083168637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 141ST ST",
            "address_2": "APT. 5E",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541672",
            "telephone_number": "646-704-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 141ST ST",
            "address_2": "APT. 5E",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541672",
            "telephone_number": "646-704-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USAWASDI",
        "first_name": "EVE",
        "name_prefix": "Ms.",
        "credential": "WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F421223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.