Family Nurse Practitioner Healthcare Services PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

FAMILY NURSE PRACTITIONER HEALTHCARE SERVICES PC

Practice address

6920 Main St
Flushing, NY 11367-1703

Phone

(718) 793-9020

NPI assigned

Aug 26, 2019

Organization subpart

No

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

Authorized official

Name

Sophia A Brown, NPNPI 1164838611

Title

Owner

Phone

(718) 793-9020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sophia A Brown, DNP, FNP-BC

  • Family Nurse Practitioner
  • Flushing, NY
  • NPI 1164838611
  Medicare reassignment NPD Authorized official
• Kernstie Stewart Pierre, FNP

  • Family Nurse Practitioner
  • Elmont, NY
  • NPI 1588346829
  Medicare reassignment

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1336797109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671703",
            "telephone_number": "718-793-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671703",
            "telephone_number": "718-793-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY NURSE PRACTITIONER HEALTHCARE SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-793-9020",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Anne Fallon, MA CCC-SLP TSSLD
• Jaclyn Falzone
• Family Care Pharma Inc.
• Family Hearing Center
• Family Neurology, PC
• Family Speech Center
• Family Speech Language Pathology PC
• Nancy I Fan-Paul, M.D.
• Chun-Yu Fan
• Wei Fan, DMD

• Family Nurse Practitioner in Flushing, NY
• Providers in Flushing, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.