Individual provider Active NPI

Everlaines De la Caridad Chapman Viltres, ADNP

  • Adult Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1285084053
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310748 Issued in NY
Practice address
1040 Havemeyer Ave
Bronx, NY 10462-5382
Phone
(415) 504-4241
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310748 NY Primary
Registered Nurse 163W00000X 95124767 CA
Registered Nurse 163W00000X 9470347 FL
Registered Nurse 163W00000X 727358 NY
Registered Nurse 163W00000X 26NR21742700 NJ

Addresses

Primary practice location

1040 Havemeyer Ave
Bronx, NY 10462-5382

Mailing address

1504 70TH St
North Bergen, NJ 07047-3809
Phone (415) 504-4241

Other practice location 1

1504 70th St
North Bergen, NJ 07047-3809
Phone (415) 504-4241

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
95124767CAMDRegistered Nurse
9470347FLMDRegistered Nurse
26NR21742700NJMDRegistered Nurse
727358NYMDRegistered Nurse
310748NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1285084053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 70TH ST",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070473809",
            "telephone_number": "415-504-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 HAVEMEYER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104625382",
            "telephone_number": "415-504-4241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 70th St",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070473809",
            "country_code": "US",
            "telephone_number": "415-504-4241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPMAN VILTRES",
        "first_name": "EVERLAINES",
        "middle_name": "DE LA CARIDAD",
        "credential": "ADNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310748",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95124767",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9470347",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "727358",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR21742700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.