Tailored Healthcare Services-Nurse Practitioner in Adult Health

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TAILORED HEALTHCARE SERVICES-NURSE PRACTITIONER IN ADULT HEALTH

Practice address

9621 Avenue B
Brooklyn, NY 11236-1321

Phone

(347) 286-1884

NPI assigned

Aug 21, 2023

Last updated

Jan 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Winsome Banain

Title

Owner

Phone

(347) 286-1884

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1225812332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9621 AVENUE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112361321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9621 AVENUE B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112361321",
            "telephone_number": "347-286-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAILORED HEALTHCARE SERVICES-NURSE PRACTITIONER IN ADULT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "BANAIN",
        "authorized_official_first_name": "WINSOME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-286-1884"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Deanna Tairi
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• Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.