Organization Active NPI

Pure Bliss Family Health NP and RN PLLC

  • Family Medicine Physician
  • Hempstead, NY
National Provider Identifier
1306590575
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PURE BLISS FAMILY HEALTH NP AND RN PLLC
Practice address
230 Hilton Ave Ste 2
Hempstead, NY 11550-8116
Phone
(201) 500-9622
Fax
(201) 643-6645
NPI assigned
Feb 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Tamara Henry
Title
Founder
Phone
(516) 655-3684

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Home Infusion Agency 251F00000X
Community/Behavioral Health Agency 251S00000X
Health Service Clinic/Center 261QH0100X
Infusion Therapy Clinic/Center 261QI0500X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

230 Hilton Ave Ste 2
Hempstead, NY 11550-8116

Mailing address

12049 Pioneers Way Apt 2219
Orlando, FL 32832-2811
Phone (201) 500-9622

Other practice location 1

6 Gramatan Ave Ste 625
Mount Vernon, NY 10550-3208
Phone (201) 500-9622 ext. 101

Other names 1

  • Pure Bliss NP In Psychiatry And Family Health PLLC Other name

National Provider Directory

National Provider Directory

Locations

6 Gramatan Ave
Ste 625
Mount Vernon, NY 10550
Phone 2015009622 ext. 101

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1306590575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12049 PIONEERS WAY APT 2219",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328322811",
            "telephone_number": "201-500-9622",
            "fax_number": "201-643-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HILTON AVE STE 2",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115508116",
            "telephone_number": "201-500-9622",
            "fax_number": "201-643-6645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Gramatan Ave Ste 625",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "NY",
            "postal_code": "105503208",
            "country_code": "US",
            "telephone_number": "201-500-9622 x101",
            "fax_number": "201-643-6645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURE BLISS FAMILY HEALTH NP AND RN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "516-655-3684"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Bliss NP In Psychiatry And Family Health PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.