Active NPI
Christina Marie Hennessy, R.N.
- Registered Nurse
- New City, NY
National Provider Identifier
1316349319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 688307-01
- Practice address
- 354 Phillips Hill Rd
New City, NY 10956-2015 - Phone
- (917) 648-8741
- NPI assigned
- Sep 22, 2014
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 688307-01 | NY | Primary |
Addresses
Primary practice location
354 Phillips Hill Rd
New City, NY 10956-2015
Mailing address
83 Hunt Ave
Pearl River, NY 10965-1868
Phone (845) 709-5082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EA16409R | Medicaid | NY |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 688307-01 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411344000000",
"number": "1316349319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 HUNT AVE",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109651868",
"telephone_number": "845-709-5082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 PHILLIPS HILL RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109562015",
"telephone_number": "917-648-8741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNESSY",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-22",
"last_updated": "2014-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "688307-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EA16409R",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.