Individual provider Active NPI

Christine H Battaglia

  • Licensed Practical Nurse
  • Shirley, NY
National Provider Identifier
1407419112
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
333268-1 Issued in NY
Practice address
1369 William Floyd Pkwy
Shirley, NY 11967-1814
Phone
(631) 294-7462
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 333268-1 NY Primary

Addresses

Primary practice location

1369 William Floyd Pkwy
Shirley, NY 11967-1814

Mailing address

PO Box 72
Brookhaven, NY 11719-0072

Other practice location 1

1369 William Floyd Pkwy
Shirley, NY 11967-1814
Phone (631) 294-7462

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
333268-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1407419112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72",
            "city": "BROOKHAVEN",
            "state": "NY",
            "postal_code": "117190072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 WILLIAM FLOYD PKWY",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119671814",
            "telephone_number": "631-294-7462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1369 William Floyd Pkwy",
            "address_purpose": "LOCATION",
            "city": "Shirley",
            "state": "NY",
            "postal_code": "119671814",
            "country_code": "US",
            "telephone_number": "631-294-7462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATTAGLIA",
        "first_name": "CHRISTINE",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "333268-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shirley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.