Individual provider Active NPI

Ivel Adassa White, R.N.

  • Registered Nurse
  • Cambria HTS, NY
National Provider Identifier
1366748063
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
240518-1 Issued in NY
Practice address
232-10 Linden Blvd.
Cambria HTS., NY 11411
Phone
(347) 548-0001
NPI assigned
Jan 28, 2011
Last updated
Jan 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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 240518-1 NY Primary

Addresses

Primary practice location

232-10 Linden Blvd.
Cambria HTS., NY 11411

Mailing address

232-10 Linden Blvd.
Cambria Heights, NY 11411
Phone (347) 548-0001

Other names 1

  • Miss Ivel Adassa Weir Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
240518-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1366748063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232-10 LINDEN BLVD.",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "11411",
            "telephone_number": "347-548-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232-10 LINDEN BLVD.",
            "city": "CAMBRIA HTS.",
            "state": "NY",
            "postal_code": "11411",
            "telephone_number": "347-548-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "IVEL",
        "middle_name": "ADASSA",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "240518-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVEL",
            "last_name": "WEIR",
            "middle_name": "ADASSA",
            "prefix": "MISS",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cambria HTS, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.