Individual provider Active NPI

Chantelle Natasha Diabate, LPN

  • Licensed Practical Nurse
  • New York, NY
National Provider Identifier
1235771841
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
321808 Issued in NY
Practice address
72 W 125TH St Lowr Level
New York, NY 10027-4502
Phone
(212) 663-3000
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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 321808 NY Primary

Addresses

Primary practice location

72 W 125TH St Lowr Level
New York, NY 10027-4502

Mailing address

40A Locust Hill Ave Apt 3G
Yonkers, NY 10701-3028
Phone (347) 392-9328

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
321808NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1235771841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40A LOCUST HILL AVE APT 3G",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013028",
            "telephone_number": "347-392-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 W 125TH ST LOWR LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274502",
            "telephone_number": "212-663-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIABATE",
        "first_name": "CHANTELLE",
        "middle_name": "NATASHA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "321808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.