Stephanie Elizabeth Mugurusa, FNP, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

620280 Issued in NY

Practice address

35 S Fulton St
Westbury, NY 11590-5205

Phone

(516) 776-2199

NPI assigned

Sep 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1407339062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S FULTON ST",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905205",
            "telephone_number": "516-776-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S FULTON ST",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905205",
            "telephone_number": "516-776-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGURUSA",
        "first_name": "STEPHANIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP, RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340394",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "620280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel K Morra, SPECIAL EDUCATION
• Krystal A Moses
• Debora Mottahedeh, D.O.
• Jazmine Moultrie
• Stephanie Ann Mueger, LMSW
• Denzil A Mulgrave, RN
• Giselle Oriana Mulgrave, RN
• Emma Munar, MA PSYCHOLOGY
• Penelope Munoz
• Kathryn L Murphy, OTR/L

• Lactation Consultant (Registered Nurse) in Westbury, NY
• Providers in Westbury, NY by specialty
• Lactation Consultant (Registered Nurse) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.