Individual provider Active NPI

Myrtelle Alexa Juste, LPN

  • Licensed Practical Nurse
  • White Plains, NY
National Provider Identifier
1114575404
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
316892-1 Issued in NY
Practice address
18 Osborne St Apt 6
White Plains, NY 10606-3446
Phone
(914) 804-9409
NPI assigned
Aug 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 316892-1 NY Primary

Addresses

Primary practice location

18 Osborne St Apt 6
White Plains, NY 10606-3446

Mailing address

18 Osborne St Apt 6
White Plains, NY 10606-3446
Phone (914) 804-9409

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

LicenseStateTypeSpecialty
316892-1NYMDLicensed Practical Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1114575404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OSBORNE ST APT 6",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106063446",
            "telephone_number": "914-804-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 OSBORNE ST APT 6",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106063446",
            "telephone_number": "914-804-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTE",
        "first_name": "MYRTELLE",
        "middle_name": "ALEXA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "316892-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.