Active NPI
Saintulia Vicsama
- Licensed Practical Nurse
- Nanuet, NY
National Provider Identifier
1164960290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 324495
- Practice address
- 43 Ewing Ave
Nanuet, NY 10954 - Phone
- (845) 367-3773
- NPI assigned
- Feb 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 324495 | NY | Primary |
Addresses
Primary practice location
43 Ewing Ave
Nanuet, NY 10954
Mailing address
43 Ewing Ave
Nanuet, NY 10954
Phone (845) 367-3773
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": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1164960290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 EWING AVE",
"city": "NANUET",
"state": "NY",
"postal_code": "10954",
"telephone_number": "845-367-3773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 EWING AVE",
"city": "NANUET",
"state": "NY",
"postal_code": "10954",
"telephone_number": "845-367-3773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICSAMA",
"first_name": "SAINTULIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-09",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "324495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nanuet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.