Active NPI
Marie-Jeanne Gradja Lariveau-Lagredelle
- Registered Nurse
- Elmont, NY
National Provider Identifier
1285983296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 450512-1
- Practice address
- 11555 Parkway Dr
Elmont, NY 11003-3934 - Phone
- (516) 782-3639
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 450512-1 | NY | Primary |
Addresses
Primary practice location
11555 Parkway Dr
Elmont, NY 11003-3934
Mailing address
11555 Parkway Dr
Elmont, NY 11003-3934
Phone (516) 782-3639
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
| License | State | Type | Specialty |
|---|---|---|---|
| 450512-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1285983296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11555 PARKWAY DR",
"city": "ELMONT",
"state": "NY",
"postal_code": "110033934",
"telephone_number": "516-782-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11555 PARKWAY DR",
"city": "ELMONT",
"state": "NY",
"postal_code": "110033934",
"telephone_number": "516-782-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARIVEAU-LAGREDELLE",
"first_name": "MARIE-JEANNE",
"middle_name": "GRADJA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "450512-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.