Individual provider Active NPI

Jessica Alonso

  • Licensed Practical Nurse
  • Sayville, NY
National Provider Identifier
1184287344
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
333411 Issued in NY
Practice address
377 Wyandanch Rd
Sayville, NY 11782-2230
Phone
(631) 374-9549
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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 333411 NY Primary

Addresses

Primary practice location

377 Wyandanch Rd
Sayville, NY 11782-2230

Mailing address

377 Wyandanch Rd
Sayville, NY 11782-2230
Phone (631) 374-9549

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.alonso@helenefuld.edu

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
333411NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1184287344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 WYANDANCH RD",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822230",
            "telephone_number": "631-374-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 WYANDANCH RD",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822230",
            "telephone_number": "631-374-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "333411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.alonso@helenefuld.edu",
            "affiliation": "N",
            "endpointDescription": "address",
            "address_1": "377 Wyandanch Rd",
            "city": "Sayville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117822230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sayville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.