Phanessa Jean, NP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

674084 Issued in NY

Practice address

228 Rhodes Ave
Hempstead, NY 11550-2925

Phone

(516) 724-2327

NPI assigned

Jan 8, 2014

Last updated

Oct 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crasmere Psychiatric Services, PC

  • Psychiatry Physician
  • Staten Island, NY
  • NPI 1336450931
  Medicare reassignment NPD
• New York Neuromodulation Medical PLLC

  • Psychiatry Physician
  • New York, NY
  • NPI 1558891135
  Medicare reassignment NPD
• Psychiatric Care Medical PLLC

  • Psychiatry Physician
  • Saint James, NY
  • NPI 1952946386
  Medicare reassignment NPD
• Gay Men's Health Crisis, Inc.

  • Community Health Clinic/Center
  • New York, NY
  • NPI 1992903389
  Medicare reassignment
• Richmond Medical Solutions, PC

  • Psychiatry Physician
  • Staten Island, NY
  • NPI 1427463124
  NPD (past)

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1215359336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 RHODES AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115502925",
            "telephone_number": "516-724-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 RHODES AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115502925",
            "telephone_number": "516-724-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "PHANESSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403156",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "674084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Jaworski Petito, CPNP
• Armelle Jean Baptiste
• Juvenise Jean Baptiste
• Marie Jean Marie Blaise
• Jean Robert Desrouleaux MD,PC
• Gabriel Jeanithe Charles
• Marie Paul Jeanty, LMSW
• Jamall T Jenkins, LMSW
• Tameka M Jenkins, MS.ED, BS, AAS
• Sophia R Jeter-Adams, RN

• Registered Nurse in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.