Lourna Vanessa Dieujuste

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

336906 Issued in NY

Practice address

11 Ferris Ave
Brentwood, NY 11717-7701

Phone

(631) 873-9826

NPI assigned

Jan 29, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1083205348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FERRIS AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117177701",
            "telephone_number": "631-873-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FERRIS AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117177701",
            "telephone_number": "631-873-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEUJUSTE",
        "first_name": "LOURNA",
        "middle_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "336906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Di Guglielmo, MD
• Geraldine C. Diaz, D.O.
• Kyle Christopher Diaz
• Mary Ann Dickinson
• Robert Lawrence Dictrow, DDS
• Marie Alourdes Dieujuste
• Chinedu Manasseh Dike
• Danielle Dilapi
• David Dimichele
• Zita Dinda

• All providers in Brentwood, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.