Individual provider Active NPI

Bertielee Irving, LPN

  • Licensed Practical Nurse
  • Pelham, NY
National Provider Identifier
1205086477
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
00163975-1 Issued in NY
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

Updated by the provider on Sep 24, 2008

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 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

LicenseStateTypeSpecialty
00163975-1NYMDLicensed 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.

Verify at the official NPI Registry.