Active NPI
Janet D Laviolette, APRN, BC
- Family Nurse Practitioner
- Bay Shore, NY
National Provider Identifier
1164404604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F331874
- Practice address
- 158 East Main Street
Ocean Family Medicine
Bay Shore, NY 11706 - Phone
- (631) 665-5634
- Fax
- (631) 665-5639
- NPI assigned
- Nov 18, 2005
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F331874 | NY | Primary |
Addresses
Primary practice location
158 East Main Street
Ocean Family Medicine
Bay Shore, NY 11706
Mailing address
PO Box 412
187 Wilmot Rd
Ocean Beach, NY 11770-0412
Phone (631) 583-9655
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F331874 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1164404604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412",
"address_2": "187 WILMOT RD",
"city": "OCEAN BEACH",
"state": "NY",
"postal_code": "117700412",
"telephone_number": "631-583-9655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 EAST MAIN STREET",
"address_2": "OCEAN FAMILY MEDICINE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "11706",
"telephone_number": "631-665-5634",
"fax_number": "631-665-5639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVIOLETTE",
"first_name": "JANET",
"middle_name": "D",
"credential": "APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F331874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.