Individual provider Active NPI

Marie Clarisse Barthelemy, LPN

  • Licensed Practical Nurse
  • New Rochelle, NY
National Provider Identifier
1225223118
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
1799761 Issued in NY
Practice address
43 Lincoln Ave
Apt 2 Rear
New Rochelle, NY 10801-1547
Phone
(914) 740-4719
NPI assigned
Sep 13, 2007
Last updated
Sep 13, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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 1799761 NY Primary

Addresses

Primary practice location

43 Lincoln Ave
Apt 2 Rear
New Rochelle, NY 10801-1547

Mailing address

PO Box 1547
43 Lincoln Avenue Apartement 2 in Rear
New Rochelle, NY 10801-1547
Phone (914) 740-4719

Other identifiers 1

IdentifierTypeStateIssuer
01038513MedicaidNY

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
1799761NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1225223118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "address_2": "43 LINCOLN AVENUE APARTEMENT 2 IN REAR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011547",
            "telephone_number": "914-740-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 LINCOLN AVE",
            "address_2": "APT 2 REAR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108011547",
            "telephone_number": "914-740-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHELEMY",
        "first_name": "MARIE CLARISSE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "1799761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01038513",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.