Individual provider Active NPI

Jacqueline Spielman I

  • Licensed Practical Nurse
  • East Northport, NY
National Provider Identifier
1184027575
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
255606 Issued in NY
Practice address
7 Hanley Place
East Northport, NY 11731
Phone
(631) 844-2596
Fax
(212) 510-5167
NPI assigned
Sep 30, 2014
Last updated
Sep 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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 255606 NY Primary

Addresses

Primary practice location

7 Hanley Place
East Northport, NY 11731

Mailing address

7 Hanley PL
East Northport, NY 11731-3701
Phone (631) 844-2596

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
255606NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1184027575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HANLEY PL",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117313701",
            "telephone_number": "631-844-2596",
            "fax_number": "212-510-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HANLEY PLACE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "11731",
            "telephone_number": "631-844-2596",
            "fax_number": "212-510-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIELMAN",
        "first_name": "JACQUELINE",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "255606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.