Betty Eloisa Stewart, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F334723-1 Issued in NY

Practice address

11706 225TH St FL 1
Cambria Heights, NY 11411-1706

Phone

(718) 712-8511

NPI assigned

Jan 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1093952608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11706 225TH ST FL 1",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111706",
            "telephone_number": "718-712-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11706 225TH ST FL 1",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111706",
            "telephone_number": "718-712-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "BETTY",
        "middle_name": "ELOISA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334723",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F334723-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00334723",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02732209",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soona D Inc
• Southside Occupational Therapist Services PC
• Michelle Spencer
• Monet Elizabeth Springer
• State University Hospital, Brooklyn
• Paulette A Stewart, M.D
• Sabrin Sultana
• Alyse Tackore, R.N
• Rashidah A Tanksley, BCBA, LBA
• Patricia Tello, RPH

• Primary Care Nurse Practitioner in Cambria Heights, NY
• Providers in Cambria Heights, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.