Marie Lisette Taverne, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

551948 Issued in NY

Practice address

24 Waterside Rd
Northport, NY 11768-2143

Phone

(631) 357-9424

NPI assigned

Oct 13, 2022

Last updated

Oct 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marie Lisette Taverne Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nai Consulting Inc

  • Registered Nurse
  • Northport, NY
  • NPI 1528754827
  NPD

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1255057006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WATERSIDE RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682143",
            "telephone_number": "631-357-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WATERSIDE RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682143",
            "telephone_number": "631-357-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERNE",
        "first_name": "MARIE LISETTE",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "551948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cloud",
            "affiliation": "N",
            "endpointDescription": "file",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "document",
            "address_1": "24 waterside road",
            "city": "northport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIE LISETTE",
            "last_name": "TAVERNE",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Grace Tan, O.D.
• Michael Tanenbaum, O.D.
• Mandar G Tank, M.D.
• Christina Taranowicz
• Maria Del Alba Taveras, REGISTERED NURSE
• Calliope K Tavlarios, RPH
• Wen-Wei Tchou, M.D.
• Vincent Anthony Terranova
• Santino Testani, DDS
• Sarah A. Thabet, PT, DPT

• Home Health Registered Nurse in Northport, NY
• Providers in Northport, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.