Individual provider Active NPI

Esther Eliza Defournoy, LPN

  • Family Nurse Practitioner
  • North Hills, CA
National Provider Identifier
1164712279
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029470 Issued in CA
Practice address
15525 Nordhoff St Apt 38
North Hills, CA 91343-3271
Phone
(631) 645-4662
NPI assigned
Apr 10, 2011
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95029470 CA Primary
Licensed Practical Nurse 164W00000X 304823-1 NY

Addresses

Primary practice location

15525 Nordhoff St Apt 38
North Hills, CA 91343-3271

Mailing address

15525 Nordhoff St Apt 38
North Hills, CA 91343-3271
Phone (631) 645-4662

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
304823-1NYMDLicensed Practical Nurse
95029470CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1302393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1164712279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15525 NORDHOFF ST APT 38",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433271",
            "telephone_number": "631-645-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15525 NORDHOFF ST APT 38",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433271",
            "telephone_number": "631-645-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFOURNOY",
        "first_name": "ESTHER",
        "middle_name": "ELIZA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-10",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029470",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "304823-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.