Mireille Gregoire

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

314635 Issued in NY

Practice address

41 Parkwold Dr E
Valley Stream, NY 11580-2152

Phone

(407) 729-4042

Fax

(718) 978-0032

NPI assigned

Jul 21, 2025

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

State licenses

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1083596282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PARKWOLD DR E",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802152",
            "telephone_number": "407-729-4042",
            "fax_number": "718-978-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PARKWOLD DR E",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802152",
            "telephone_number": "407-729-4042",
            "fax_number": "718-978-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGOIRE",
        "first_name": "MIREILLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "314635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Greenberg
• Heather L Greenblatt
• Shira Greenblatt, M.S.ED
• Evan Greene, MSPT
• Sharon G Greenwald Schulman, MASTERS DEGREE
• Alexander Grif, DO
• Jasmine Griggs
• Jannique Keisha Griszell
• Eric Gerard Grossmann, D.D.S.
• Grow Wise Inc

• Licensed Practical Nurse in Valley Stream, NY
• Providers in Valley Stream, 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 Jul 21, 2025; 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.