Individual provider Active NPI

Lydia Saint-Louis, LPN

  • Licensed Practical Nurse
  • New York, NY
National Provider Identifier
1174871958
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
309960 Issued in NY
Practice address
499 7TH Ave
21St Floor
New York, NY 10018-6803
Phone
(212) 629-7204
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 309960 NY Primary

Addresses

Primary practice location

499 7TH Ave
21St Floor
New York, NY 10018-6803

Mailing address

530 Parkside Ave
Apt 2B
Brooklyn, NY 11226-1555
Phone (347) 623-2601

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
309960NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1174871958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 PARKSIDE AVE",
            "address_2": "APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261555",
            "telephone_number": "347-623-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 7TH AVE",
            "address_2": "21ST FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186803",
            "telephone_number": "212-629-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT-LOUIS",
        "first_name": "LYDIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "309960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.