Individual provider Active NPI

Emmeline Fourcand

  • Psychiatric/Mental Health Registered Nurse
  • Cambria Heights, NY
National Provider Identifier
1124370994
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
706323 Issued in NY
Practice address
11668 232ND St
Cambria Heights, NY 11411-1834
Phone
(718) 749-3015
NPI assigned
Oct 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 706323 NY
Licensed Practical Nurse 164W00000X 10 311160 NY
Psychiatric/Mental Health Registered Nurse 163WP0808X 706323 NY Primary

Addresses

Primary practice location

11668 232ND St
Cambria Heights, NY 11411-1834

Mailing address

11668 232ND St
Cambria Heights, NY 11411-1834
Phone (718) 749-3015

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
706323NYMDRegistered Nurse
10 311160NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1124370994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11668 232ND ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111834",
            "telephone_number": "718-749-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11668 232ND ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111834",
            "telephone_number": "718-749-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURCAND",
        "first_name": "EMMELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "706323",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10 311160",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "706323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambria Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.