Individual provider Active NPI

Henrietta Nwamaka Nnadi

  • Behavior Analyst
  • Queens Village, NY
National Provider Identifier
1215418579
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
22338 112TH Rd
Queens Village, NY 11429-2703
Phone
(646) 594-4631
NPI assigned
Aug 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

22338 112TH Rd
Queens Village, NY 11429-2703

Mailing address

22338 112TH Rd
Queens Village, NY 11429-2703
Phone (646) 594-4631

Other names 1

  • Nwamaka Henrietta Nnadi Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1215418579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22338 112TH RD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292703",
            "telephone_number": "646-594-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22338 112TH RD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292703",
            "telephone_number": "646-594-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NNADI",
        "first_name": "HENRIETTA",
        "middle_name": "NWAMAKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NWAMAKA",
            "last_name": "NNADI",
            "middle_name": "HENRIETTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.