Individual provider Active NPI

Tameka Denise Bland, FNP

  • Primary Care Nurse Practitioner
  • Newburgh, NY
National Provider Identifier
1144743089
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
342028 Issued in NY
Practice address
12 HDSN Vly Prof PLZ
Newburgh, NY 12550-3101
Phone
(845) 561-1581
NPI assigned
Jul 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 342028 NY Primary

Addresses

Primary practice location

12 HDSN Vly Prof PLZ
Newburgh, NY 12550-3101

Mailing address

1037 Main St
Peekskill, NY 10566-2913
Phone (914) 734-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180710000330 NY Practitioner - Nurse Practitioner 5799031571 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
342028NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin H Weiner, MD, PC CurrentSince Sep 1, 2018 Accepting new patients
Sun River Health Inc Current Accepting new patients
Sun River Health Inc. CurrentSince May 28, 2018 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Jul 31, 2023 Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

3199 Bainbridge Ave
Bronx, NY 10467
Phone (347) 346-8330

12 Hdsn Vly Prof Plz
Newburgh, NY 12550
Phone (516) 599-4475

1037 Main St
Peekskill, NY 10566
Phone (914) 734-8800

963 Post Ave
Staten Island, NY 10302
Phone (718) 442-4422

75 Orange Ave
Walden, NY 12586
Phone (845) 778-2700

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1144743089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 MAIN ST",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662913",
            "telephone_number": "914-734-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HDSN VLY PROF PLZ",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503101",
            "telephone_number": "845-561-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAND",
        "first_name": "TAMEKA",
        "middle_name": "DENISE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-23",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "342028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.