Active NPI
Charlotte Yvrose Lasontant Bassaragh, LPN
- Licensed Practical Nurse
- Staten Island, NY
National Provider Identifier
1174850515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 269027
- Practice address
- 1477 Hylan Blvd
Staten Island, NY 10305-1906 - Phone
- (718) 979-6900
- NPI assigned
- Nov 5, 2009
- 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 | 269027 | NY | Primary |
Addresses
Primary practice location
1477 Hylan Blvd
Staten Island, NY 10305-1906
Mailing address
378 Saint Marks PL
Staten Island, NY 10301-2409
Phone (718) 448-5903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269027 | Other | NY | NYS LICENSE |
Other names 1
- Charlotte Yvrose Lafontant
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homemakers of Staten Island, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Staten Island, NY
- NPI 1952462806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257379200000",
"number": "1174850515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "378 SAINT MARKS PL",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103012409",
"telephone_number": "718-448-5903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1477 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103051906",
"telephone_number": "718-979-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASONTANT BASSARAGH",
"first_name": "CHARLOTTE",
"middle_name": "YVROSE",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-05",
"last_updated": "2009-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "269027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "269027",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLOTTE",
"last_name": "LAFONTANT",
"middle_name": "YVROSE",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.