Active NPI
Alevtina Dick
- Health Educator
- Forest Hills, NY
National Provider Identifier
1124380746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 11406 Queens Blvd
Apt. C8
Forest Hills, NY 11375-7001 - Phone
- (917) 519-7711
- NPI assigned
- Jun 10, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | NY | Primary |
Addresses
Primary practice location
11406 Queens Blvd
Apt. C8
Forest Hills, NY 11375-7001
Mailing address
11406 Queens Blvd
Apt. C8
Forest Hills, NY 11375-7001
Phone (917) 519-7711
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339286400000",
"number": "1124380746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11406 QUEENS BLVD",
"address_2": "APT. C8",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757001",
"telephone_number": "917-519-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11406 QUEENS BLVD",
"address_2": "APT. C8",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757001",
"telephone_number": "917-519-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICK",
"first_name": "ALEVTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-10",
"last_updated": "2012-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.