Individual provider Active NPI

Nerlande Noel Nonyelu, LPN

  • Licensed Practical Nurse
  • Queens Village, NY
National Provider Identifier
1316290463
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
311890 Issued in NY
Practice address
22016 93Rd Rd
Queens Village, NY 11428-1912
Phone
(347) 633-8384
NPI assigned
Oct 25, 2012
Last updated
Dec 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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 311890 NY Primary

Addresses

Primary practice location

22016 93Rd Rd
Queens Village, NY 11428-1912

Mailing address

22016 93Rd Rd
Queens Village, NY 11428-1912
Phone (347) 633-8384

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
311890NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1316290463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22016 93RD RD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281912",
            "telephone_number": "347-633-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22016 93RD RD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281912",
            "telephone_number": "347-633-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NONYELU",
        "first_name": "NERLANDE",
        "middle_name": "NOEL",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "311890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

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

Verify at the official NPI Registry.