Individual provider Active NPI

Valerie Roxanne Mercurius, LPN

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1326289729
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
290574 Issued in NY
Practice address
514 Sheffield Ave
1R
Brooklyn, NY 11207-5757
Phone
(347) 834-6504
NPI assigned
Mar 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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 290574 NY Primary

Addresses

Primary practice location

514 Sheffield Ave
1R
Brooklyn, NY 11207-5757

Mailing address

514 Sheffield Ave
1R
Brooklyn, NY 11207-5757
Phone (347) 834-6504

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
290574NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1326289729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 SHEFFIELD AVE",
            "address_2": "1R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112075757",
            "telephone_number": "347-834-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 SHEFFIELD AVE",
            "address_2": "1R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112075757",
            "telephone_number": "347-834-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCURIUS",
        "first_name": "VALERIE",
        "middle_name": "ROXANNE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "290574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.