Jareeza Villanueva-Fournier, REGISTERED NURSE

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

676417 Issued in NY

Practice address

102 Rivers Edge Rd
New York, NY 10035-1163

Phone

(646) 672-6767

NPI assigned

Feb 25, 2022

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": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1093461212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 MACE AVE APT 3F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104677645",
            "telephone_number": "347-612-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RIVERS EDGE RD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351163",
            "telephone_number": "646-672-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA-FOURNIER",
        "first_name": "JAREEZA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "676417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guy Villano
• Lynnea Villanova, MD
• Kayla C Villante
• Augusto Villanueva Rodriguez, MD, PHD
• Gezel Tamayo Villanueva-Fischberg, MS, PT
• Ana Villanueva, LMSW
• Dannielle Evie Villanueva
• Gebeth Tamayo Villanueva, PT
• Gerald Villanueva, M.D.
• Jerome Villanueva, PT

• Psychiatric/Mental Health Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.