Active NPI
Marquita Byrd
- Licensed Practical Nurse
- Stone Ridge, NY
National Provider Identifier
1376424267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 332754
- Practice address
- 12 Gagnon Dr
Stone Ridge, NY 12484 - Phone
- (845) 486-2850
- NPI assigned
- Sep 9, 2025
- Last updated
- Sep 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 332754 | NY | Primary |
Addresses
Primary practice location
12 Gagnon Dr
Stone Ridge, NY 12484
Mailing address
43 Gage St
Kingston, NY 12401-3019
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
| License | State | Type | Specialty |
|---|---|---|---|
| 332754 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1376424267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 GAGE ST",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124013019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 GAGNON DR",
"city": "STONE RIDGE",
"state": "NY",
"postal_code": "12484",
"telephone_number": "845-486-2850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "MARQUITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-09",
"last_updated": "2025-09-09",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "332754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Ridge, NY
- Andy Lapides LCSW PLLC
- Anthony Gaudioso, PH.D, Licensed Mental Health Counselor, P.C.
- Kent Babcock, MSW, LMSW
- Lenore Mennin Bruce, LCSW
- Izabel Eda Burd-Tamdogan, MSW-LP
- Kathleen Jean Caproni, PH.D.
- Rachel Ann Carron, RD, CDN, CDE
- John F Cattich, PH.D,, M.S., M.DIV.,
- Christopher Mark Chamberlin, LMHC
- Meghan Christine Davis, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.