Active NPI
Lucien Octavien
- Licensed Vocational Nurse
- Roslyn Heights, NY
National Provider Identifier
1114275187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 31055-1
- Practice address
- 255 Warner Ave
Roslyn Heights, NY 11577-1000 - Phone
- (516) 621-5400
- Fax
- (516) 621-4879
- NPI assigned
- Aug 26, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 31055-1 | NY | Primary |
Addresses
Primary practice location
255 Warner Ave
Roslyn Heights, NY 11577-1000
Mailing address
75 1ER Ane Bolosse
Port-Au-Prince, CAPITAL WI
HT
Phone (509) 103-5339
Other names 1
- Francoise Ann Octavien
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31055-1 | NY | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345939200000",
"number": "1114275187",
"addresses": [
{
"country_code": "HT",
"country_name": "Haiti",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "75 1ER ANE BOLOSSE",
"city": "PORT-AU-PRINCE",
"state": "CAPITAL",
"postal_code": "WI",
"telephone_number": "509-103-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 WARNER AVE",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115771000",
"telephone_number": "516-621-5400",
"fax_number": "516-621-4879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCTAVIEN",
"first_name": "LUCIEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-26",
"last_updated": "2012-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "NY",
"license": "31055-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FRANCOISE",
"last_name": "OCTAVIEN",
"middle_name": "ANN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Roslyn Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.