Individual provider Active NPI

Jeannie Claudelle Florestal

  • General Practice Registered Nurse
  • Laurelton, NY
National Provider Identifier
1336057892
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
656156 Issued in NY
Practice address
22305 131St Ave
Laurelton, NY 11413-1702
Phone
(347) 557-9177
NPI assigned
Aug 27, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 656156 NY Primary

Addresses

Primary practice location

22305 131St Ave
Laurelton, NY 11413-1702

Mailing address

22305 131St Ave
Laurelton, NY 11413-1702
Phone (347) 557-9177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1336057892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22305 131ST AVE",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114131702",
            "telephone_number": "347-557-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22305 131ST AVE",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114131702",
            "telephone_number": "347-557-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORESTAL",
        "first_name": "JEANNIE",
        "middle_name": "CLAUDELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "656156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurelton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.