Restoredhealth LLC

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

Legal business name

RESTOREDHEALTH LLC

Practice address

4 John Calvin Dr
Blauvelt, NY 10913-1001

Phone

(772) 834-2444

NPI assigned

Mar 12, 2020

Last updated

Mar 12, 2020By 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

Kellie Leveille, NPNPI 1811417710

Title

Owner

Phone

(772) 834-2444

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kellie Leveille, NP-C, CNM

  • Family Nurse Practitioner
  • Nyack, NY
  • NPI 1811417710
  NPD Authorized official

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1245866045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109130047",
            "telephone_number": "772-834-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 JOHN CALVIN DR",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131001",
            "telephone_number": "772-834-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTOREDHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "LEVEILLE",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-834-2444",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Charles Philip, PHD
• Physico-Connect PT PC
• Tracey E Polizzi, PH.D.
• Procore Physical Therapy P.C.
• Procore Physical Therapy, P.C.
• Gabriel Ello Reventar, PT
• Solmi Roh, L.AC., DIPL. OM.
• Allison Rubin, RN
• Judy P Sabater James
• Saint Dominic's Home

• Registered Nurse First Assistant in Blauvelt, NY
• Providers in Blauvelt, NY by specialty
• Registered Nurse First Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.