Individual provider Active NPI

Nicole C Lemoine, RN,MSN,CNN,FNP

  • Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1336479534
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F333213-1 Issued in NY
Practice address
1999 Marcus Ave
Suite 216
New Hyde Park, NY 11042-1017
Phone
(516) 775-4545
Fax
(516) 775-4646
NPI assigned
Jan 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F333213-1 NY Primary

Addresses

Primary practice location

1999 Marcus Ave
Suite 216
New Hyde Park, NY 11042-1017

Mailing address

1999 Marcus Ave
Suite 216
New Hyde Park, NY 11042-1017
Phone (516) 775-4545

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
333213NYMDInfectious Disease Physician
F333213-1NYMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1336479534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE",
            "address_2": "SUITE 216",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421017",
            "telephone_number": "516-775-4545",
            "fax_number": "516-775-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE",
            "address_2": "SUITE 216",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421017",
            "telephone_number": "516-775-4545",
            "fax_number": "516-775-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMOINE",
        "first_name": "NICOLE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "RN,MSN,CNN,FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F333213-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.