Tami Ricci

Individual provider Active NPI Registered Nurse · New York, NY

NPI 1285930693 · NPPES record last updated Feb 2, 2011

Key facts

NPI
1285930693
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
461478-1 (NY)
Practice address
163 W 125TH St FL 12
New York, NY 10027-4436
Phone
(212) 961-8723
Fax
(212) 866-2760
NPI assigned
Feb 2, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
461478-1NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 461478-1 NY Yes

Addresses

Primary practice location

163 W 125TH St FL 12
New York, NY 10027-4436

Mailing address

163 W 125TH St FL 12
New York, NY 10027-4436
Phone (212) 961-8723

Other identifiers

IdentifierTypeStateIssuer
163W00000XMedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 2, 2011.

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1285930693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 W 125TH ST FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274436",
            "telephone_number": "212-961-8723",
            "fax_number": "212-866-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 W 125TH ST FL 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274436",
            "telephone_number": "212-961-8723",
            "fax_number": "212-866-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCI",
        "first_name": "TAMI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "461478-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163W00000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

All providers in New York, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.