Julie Etienne, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

345034 Issued in NY

Practice address

14732 Jamaica Ave
Jamaica, NY 11435-4042

Phone

(718) 786-5000

NPI assigned

Oct 22, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Julie Etienne Professional name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989

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

• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855

  Nurse Practitioner

  Medicare reassignment NPD
• Choices Women's Medical Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Jamaica, NY
  • NPI 1194832949
  Medicare reassignment NPD
• Comprehensive Medical Care, PC

  • Specialist
  • Jamaica, NY
  • NPI 1609897834
  Medicare reassignment NPD

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1285039032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 DANIEL CRES",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105153",
            "telephone_number": "516-603-0509",
            "fax_number": "516-505-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14732 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354042",
            "telephone_number": "718-786-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3503 Daniel Cres",
            "address_purpose": "LOCATION",
            "city": "Baldwin",
            "state": "NY",
            "postal_code": "115105153",
            "country_code": "US",
            "telephone_number": "516-603-0509",
            "fax_number": "516-505-0610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "JULIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345034",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "6112721",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "61127201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "ETIENNE",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kimberly Caroline Estrada, LMSW
• Loren Grace Paraan Estrada, PT
• Ariana Ahaneen Etessami, DDS
• Jenny Etienne, HHA
• Judeline Etienne, NP
• Livienne Etienne
• Marie D. Etienne, L.P.N.
• Sandrine Marie Cecile Etienne, LMSW
• Stephanie Etienne
• Joseph V. Etzel, PHARM.D.

• Family Nurse Practitioner in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.

Verify at the official NPI Registry.