Individual provider Active NPI

Felicia Joy Endara, R.N., LPN

  • Home Health Registered Nurse
  • Mastic Beach, NY
National Provider Identifier
1184999872
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
653008 Issued in NY
Practice address
202 Beaver Dr
Mastic Beach, NY 11951-2812
Phone
(631) 466-2226
NPI assigned
Mar 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 653008 NY
Licensed Practical Nurse 164W00000X 295347 NY
Home Health Registered Nurse 163WH0200X 653008 NY Primary

Addresses

Primary practice location

202 Beaver Dr
Mastic Beach, NY 11951-2812

Mailing address

145 Montgomery Ave
West Babylon, NY 11704-4834
Phone (631) 466-2226

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
653008NYMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1184999872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MONTGOMERY AVE",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117044834",
            "telephone_number": "631-466-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BEAVER DR",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119512812",
            "telephone_number": "631-466-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDARA",
        "first_name": "FELICIA",
        "middle_name": "JOY",
        "credential": "R.N., LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "653008",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "295347",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "653008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mastic Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.