Individual provider Active NPI

Sakina Monique Malachi, LPN

  • Licensed Practical Nurse
  • Bridgeport, CT
National Provider Identifier
1285220806
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
337868 Issued in CT
Practice address
1033 Old Town Rd
Bridgeport, CT 06606-1419
Phone
(475) 731-3450
Fax
(475) 731-3450
NPI assigned
Dec 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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 337868 CT Primary

Addresses

Primary practice location

1033 Old Town Rd
Bridgeport, CT 06606-1419

Mailing address

1033 Old Town Rd
Bridgeport, CT 06606-1419
Phone (475) 731-3450

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
337868CTMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1285220806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 OLD TOWN RD",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061419",
            "telephone_number": "475-731-3450",
            "fax_number": "475-731-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 OLD TOWN RD",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061419",
            "telephone_number": "475-731-3450",
            "fax_number": "475-731-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALACHI",
        "first_name": "SAKINA",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CT",
            "license": "337868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.