Active NPI
Lendsa Guillaume
- Psychiatric/Mental Health Nurse Practitioner
- Hewlett, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F403647-01
- Practice address
- 1258 Westervelt PL
Hewlett, NY 11557-1208 - Phone
- (516) 250-3266
- Fax
- (516) 250-3266
- NPI assigned
- Dec 22, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Rockville Centre, NY
- NPI 1104097294
-
- Psychiatric Hospital Unit
- Rockville Centre, NY
- NPI 1427017854
-
- Rehabilitation Hospital Unit
- Rockville Centre, NY
- NPI 1598724924
-
- General Acute Care Hospital
- Rockville Centre, NY
- NPI 1659330173
-
- Psychiatric Hospital Unit
- Rockville Centre, NY
- NPI 1487698544
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Medical Center
Practice addresses (Care Compare)
1000 N Village Ave
Rockville Center, NY 11570-1000
Phone (516) 705-3428
506 Stewart Ave
Garden City, NY 11530-4706
Phone (516) 745-1120
Hospital & facility affiliations
- Mercy Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230711000228 | NY | Practitioner - Nurse Practitioner | 0840659728 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22568330 | NY | MD | Registered Nurse |
| F403647-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients |
Locations
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 22568330 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F403647-01 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1258 Westervelt PL
Hewlett, NY 11557-1208
Mailing address
1258 Westervelt PL
Hewlett, NY 11557-1208
Phone (516) 250-3266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 5, 2021.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638662400000",
"number": "1407211196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1258 WESTERVELT PL",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115571208",
"telephone_number": "516-250-3266",
"fax_number": "516-250-3266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1258 WESTERVELT PL",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115571208",
"telephone_number": "516-250-3266",
"fax_number": "516-250-3266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLAUME",
"first_name": "LENDSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-22",
"last_updated": "2021-12-05",
"certification_date": "2021-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "22568330",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F403647-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hewlett, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.