Individual provider Active NPI

Marvia Elaine Harriott

  • Registered Nurse
  • Bronx, NY
National Provider Identifier
1346596129
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
460-230-1 Issued in NY
Practice address
770 Cirote Street
PS 188X at PS 34X
Bronx, NY 10460
Phone
(718) 561-2052
Fax
(718) 561-2683
NPI assigned
Jul 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 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 460-230-1 NY Primary

Addresses

Primary practice location

770 Cirote Street
PS 188X at PS 34X
Bronx, NY 10460

Mailing address

770 Cirote Street
PS 188X at PS 34X
Bronx, NY 10460
Phone (718) 561-2052

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
460-230-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1346596129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 CIROTE STREET",
            "address_2": "PS 188X AT PS 34X",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "718-561-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 CIROTE STREET",
            "address_2": "PS 188X AT PS 34X",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10460",
            "telephone_number": "718-561-2052",
            "fax_number": "718-561-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIOTT",
        "first_name": "MARVIA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "460-230-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.