Jamila Audain

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

749167-1 Issued in NY

Practice address

11579 227TH St
Cambria Heights, NY 11411-1428

Phone

(631) 805-6161

NPI assigned

Aug 18, 2020

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

Other names 1

• Jamila Tanice Marcellin Former name

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": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1104438464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11579 227TH ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111428",
            "telephone_number": "631-805-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11579 227TH ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111428",
            "telephone_number": "631-805-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDAIN",
        "first_name": "JAMILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "749167-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMILA",
            "last_name": "MARCELLIN",
            "middle_name": "TANICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natasha Andre
• Agatha A Anosike, NP
• James Antoine, DPT
• Christina Argyros
• Sussan Atuanya
• Sheena Audain
• Muinat Audu
• Carol D Ayton, O.T.R.
• Meagan Samantha Baird
• Elizabeth Baker

• Registered Nurse in Cambria Heights, NY
• Providers in Cambria Heights, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.