Active NPI
Lisa McFaddin-Robinson, LPN
- Licensed Practical Nurse
- Valley Stream, NY
National Provider Identifier
1295373769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 336707
- Practice address
- 40 Liberty Blvd
Valley Stream, NY 11580-4834 - Phone
- (917) 710-1638
- NPI assigned
- Dec 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 336707 | NY | Primary |
Addresses
Primary practice location
40 Liberty Blvd
Valley Stream, NY 11580-4834
Mailing address
40 Liberty Blvd
Valley Stream, NY 11580-4834
Phone (917) 710-1638
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | msjaguarlady@aol.com | ||
| CONNECT URL | msjaguarlady@aol.com | ||
| CONNECT URL | msjaguarlady@aol.com |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1295373769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 LIBERTY BLVD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115804834",
"telephone_number": "917-710-1638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 LIBERTY BLVD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115804834",
"telephone_number": "917-710-1638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFADDIN-ROBINSON",
"first_name": "LISA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-16",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "336707",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "msjaguarlady@aol.com",
"affiliation": "N",
"address_1": "40 Liberty Blvd",
"city": "Valley Stream",
"state": "NY",
"country_code": "US",
"postal_code": "115804834",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "msjaguarlady@aol.com",
"affiliation": "N",
"address_1": "40 Liberty Blvd",
"city": "Valley Stream",
"state": "NY",
"country_code": "US",
"postal_code": "115804834",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "msjaguarlady@aol.com",
"affiliation": "N",
"address_1": "40 Liberty Blvd",
"city": "Valley Stream",
"state": "NY",
"country_code": "US",
"postal_code": "115804834",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.