Active NPI
Erica Dawn Seppala, RN, BSN, MPH, MA
- Ambulatory Women's Health Care Registered Nurse
- Long Island City, NY
National Provider Identifier
1104254747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Women's Health Care Registered Nurse
- License
- 703261
- Practice address
- 2141 45TH Rd
Long Island City, NY 11101-4706 - Phone
- (212) 965-7000
- NPI assigned
- Oct 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Inpatient Obstetric Registered Nurse | 163WX0003X | 703261 | NY | |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 703261 | NY | Primary |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 703261 | NY | |
| Perinatal Registered Nurse | 163WP1700X | 703261 | NY |
Addresses
Primary practice location
2141 45TH Rd
Long Island City, NY 11101-4706
Mailing address
2533 23Rd St
Apt 1B
Astoria, NY 11102-2963
Phone (718) 517-0006
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
- Bachelor on Science - Nursing, Master of Arts, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 703261 | NY | MD | Inpatient Obstetric Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Greater New York Inc | Current | Accepting new patients | |
| Planned Parenthood of the Southern Finger Lakes Inc. | Past | Accepting new patients |
Locations
2141 45th Rd
Long Island City, NY 11101
Phone (212) 965-7000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Family Planning Facility
- Brooklyn, NY
- NPI 1417959701
-
- Ambulatory Family Planning Facility
- Ithaca, NY
- NPI 1881761484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1104254747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2533 23RD ST",
"address_2": "APT 1B",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111022963",
"telephone_number": "718-517-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2141 45TH RD",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014706",
"telephone_number": "212-965-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPPALA",
"first_name": "ERICA",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "RN, BSN, MPH, MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-16",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Obstetric, Inpatient",
"state": "NY",
"license": "703261",
"primary": false
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "NY",
"license": "703261",
"primary": true
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "NY",
"license": "703261",
"primary": false
},
{
"code": "163WP1700X",
"taxonomy_group": "",
"desc": "Registered Nurse, Perinatal",
"state": "NY",
"license": "703261",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.