Individual provider Active NPI

Nadine Andrea Hall, RN

  • Administrator Registered Nurse
  • Bronx, NY
National Provider Identifier
1083289219
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
640346 Issued in NY
Practice address
1540 Tomlinson Ave
Bronx, NY 10461-1527
Phone
(718) 892-6600
NPI assigned
May 20, 2021
Last updated
May 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 640346 NY Primary

Addresses

Primary practice location

1540 Tomlinson Ave
Bronx, NY 10461-1527

Mailing address

1540 Tomlinson Ave
Bronx, NY 10461-1527
Phone (718) 892-6600

Other practice location 1

1540 Tomlinson Ave
Bronx, NY 10461-1527
Phone (718) 892-6600 ext. 130

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
640346NYMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1083289219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 TOMLINSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611527",
            "telephone_number": "718-892-6600",
            "fax_number": "718-931-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 TOMLINSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611527",
            "telephone_number": "718-892-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 Tomlinson Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104611527",
            "country_code": "US",
            "telephone_number": "718-892-6600 x130",
            "fax_number": "718-931-1061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "NADINE",
        "middle_name": "ANDREA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "640346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.