Active NPI
Christine H Battaglia
- Licensed Practical Nurse
- Shirley, NY
National Provider Identifier
1407419112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 333268-1
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 333268-1 | NY | MD | Licensed 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.