Active NPI
Bertielee Irving, LPN
- Licensed Practical Nurse
- Pelham, NY
National Provider Identifier
1205086477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 00163975-1
- Practice address
- 327 Fifth Avenue
First Floor Barksdale Health Care Services Inc
Pelham, NY 10803 - Phone
- (914) 738-5600
- Fax
- (914) 738-0658
- NPI assigned
- Sep 24, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 00163975-1 | NY | Primary |
Addresses
Primary practice location
327 Fifth Avenue
First Floor Barksdale Health Care Services Inc
Pelham, NY 10803
Mailing address
327 Fifth Avenue
First Floor Barksdale Health Care Services Inc
Pelham, NY 10803
Phone (914) 738-5600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00163975-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1205086477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 FIFTH AVENUE",
"address_2": "FIRST FLOOR BARKSDALE HEALTH CARE SERVICES INC",
"city": "PELHAM",
"state": "NY",
"postal_code": "10803",
"telephone_number": "914-738-5600",
"fax_number": "914-738-0658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 FIFTH AVENUE",
"address_2": "FIRST FLOOR BARKSDALE HEALTH CARE SERVICES INC",
"city": "PELHAM",
"state": "NY",
"postal_code": "10803",
"telephone_number": "914-738-5600",
"fax_number": "914-738-0658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRVING",
"first_name": "BERTIELEE",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-24",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "00163975-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pelham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.