Individual provider Active NPI

Jemma V Wilson-Cyrus

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1346512241
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
634727-1 Issued in NY
Practice address
395 Maple St
Apt. D7
Brooklyn, NY 11225-4173
Phone
(718) 940-3969
NPI assigned
Feb 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 634727-1 NY Primary

Addresses

Primary practice location

395 Maple St
Apt. D7
Brooklyn, NY 11225-4173

Mailing address

395 Maple St
Apt. D7
Brooklyn, NY 11225-4173
Phone (718) 940-3969

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
634727-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1346512241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 MAPLE ST",
            "address_2": "APT. D7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254173",
            "telephone_number": "718-940-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 MAPLE ST",
            "address_2": "APT. D7",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254173",
            "telephone_number": "718-940-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-CYRUS",
        "first_name": "JEMMA",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "634727-1",
            "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 Feb 7, 2012; 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.