Individual provider Active NPI

Chenee Cytall-Leslie, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1356067797
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F310907-01 Issued in NY
Practice address
902 Quentin Rd
Brooklyn, NY 11223-2214
Phone
(917) 736-9740
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F310907-01 NY Primary

Addresses

Primary practice location

902 Quentin Rd
Brooklyn, NY 11223-2214

Mailing address

1279 E 17TH St Apt 6F
Brooklyn, NY 11230-6038

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
F310907-01NYMDPrimary Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ccytall249097@nyumc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1356067797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 E 17TH ST APT 6F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232214",
            "telephone_number": "917-736-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYTALL-LESLIE",
        "first_name": "CHENEE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F310907-01",
            "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 Oct 18, 2022; 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.