Individual provider Active NPI

Erica Dawn Seppala, RN, BSN, MPH, MA

  • Ambulatory Women's Health Care Registered Nurse
  • Long Island City, NY
National Provider Identifier
1104254747
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X
License
703261 Issued in NY
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

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
703261NYMDInpatient Obstetric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Greater New York Inc CurrentSince Sep 1, 2020 Accepting new patients
Planned Parenthood of the Southern Finger Lakes Inc. PastSince Dec 15, 2019 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.

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.

Verify at the official NPI Registry.