Individual provider Active NPI

Carmen Skrine, RN

  • Registered Nurse
  • Valley Stream, NY
National Provider Identifier
1114669710
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
821769 Issued in NY
Practice address
64 W Valley Stream Blvd
Valley Stream, NY 11580-6200
Phone
(516) 998-5056
NPI assigned
Apr 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 821769 NY Primary

Addresses

Primary practice location

64 W Valley Stream Blvd
Valley Stream, NY 11580-6200

Mailing address

64 W Valley Stream Blvd
Valley Stream, NY 11580-6200
Phone (516) 998-5056

Other practice location 1

64 W Valley Stream Blvd
Valley Stream, NY 11580-6200
Phone (516) 998-5056

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
821769NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1114669710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 W VALLEY STREAM BLVD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806200",
            "telephone_number": "516-998-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 W VALLEY STREAM BLVD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806200",
            "telephone_number": "516-998-5056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 W Valley Stream Blvd",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115806200",
            "country_code": "US",
            "telephone_number": "516-998-5056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKRINE",
        "first_name": "CARMEN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "821769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.