Vivian Patricia Everett

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

3307161 Issued in NY

Practice address

126 Alder Dr
Kings Park, NY 11754-2229

Phone

(631) 339-1638

NPI assigned

Mar 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1174025035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 ALDER DR",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 ALDER DR",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542229",
            "telephone_number": "631-339-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "VIVIAN",
        "middle_name": "PATRICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "3307161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsayed Ahmed Eldik, D.D.S
• Alyson Elish-Swartz
• Laura Alison Ellick, PH.D.
• Charla Engel
• Carol A Esposito
• Brian Fabb, D.D.S.
• Stephanie Marie Faggione
• Nancy Jean Fenimore
• Maria Virginia Figueroa
• Brittany Finnegan, MPH, L.AC.

• Licensed Practical Nurse in Kings Park, NY
• Providers in Kings Park, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.