Individual provider Active NPI

Thandeka Erika Sealey, LPN

  • Licensed Practical Nurse
  • North Baldwin, NY
National Provider Identifier
1275375107
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
343632-01 Issued in NY
Practice address
1461 Talmadge Dr
North Baldwin, NY 11510-1548
Phone
(516) 710-8149
NPI assigned
Jun 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 343632-01 NY Primary

Addresses

Primary practice location

1461 Talmadge Dr
North Baldwin, NY 11510-1548

Mailing address

1461 Talmadge Dr
North Baldwin, NY 11510-1548
Phone (516) 710-8149

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
343632-01NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1275375107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 TALMADGE DR",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101548",
            "telephone_number": "516-710-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 TALMADGE DR",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101548",
            "telephone_number": "516-710-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALEY",
        "first_name": "THANDEKA",
        "middle_name": "ERIKA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "343632-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.