Active NPI
Patricia Lotridge, NURSE PRACTITIONER
- Adult Health Nurse Practitioner
- West Islip, NY
National Provider Identifier
1265826002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F307003-1
- Practice address
- 111 Beach Dr
West Islip, NY 11795-4929 - Phone
- (631) 587-1600
- NPI assigned
- Mar 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F307003-1 | NY | Primary |
Addresses
Primary practice location
111 Beach Dr
West Islip, NY 11795-4929
Mailing address
111 Beach Dr
West Islip, NY 11795-4929
Phone (631) 587-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171114002575 | NY | Practitioner - Nurse Practitioner | 7618233255 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307003 | NY | MD | Licensed Practical Nurse |
| F307003-1 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487462400000",
"number": "1265826002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BEACH DR",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954929",
"telephone_number": "631-587-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 BEACH DR",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954929",
"telephone_number": "631-587-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTRIDGE",
"first_name": "PATRICIA",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-18",
"last_updated": "2017-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F307003-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Islip, NY
- Long Island Medical Imaging, PC (Zilkha Radiology)
- Long Island Neuroscience Medical Consulting PLLC
- Long Island Neurosurgical & Pain Specialists, PLLC (SpineCare NY)
- Dukerns Loremil, PA
- Luciano Loseto
- Nicolette Marie Lovari, LPN
- Matthew W Love, PA
- Danielle Christine Lovece, LMHC
- Alisa Lu, MD
- William Henry Luce, OPTICIAN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.