Individual provider Active NPI

Marie Regina Longchamps, R.N.

  • Home Health Registered Nurse
  • North Baldwin, NY
National Provider Identifier
1417134099
Registry record updated Jan 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
455456-1 Issued in NY
Practice address
1230 Saint Pauls St
North Baldwin, NY 11510-1206
Phone
(516) 442-5681
NPI assigned
Jan 26, 2008
Last updated
Jan 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 455456-1 NY Primary

Addresses

Primary practice location

1230 Saint Pauls St
North Baldwin, NY 11510-1206

Mailing address

1230 Saint Pauls St
North Baldwin, NY 11510-1206
Phone (516) 442-5681

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
455456-1NYMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1201305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201305600000",
    "number": "1417134099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 SAINT PAULS ST",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101206",
            "telephone_number": "516-442-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 SAINT PAULS ST",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101206",
            "telephone_number": "516-442-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGCHAMPS",
        "first_name": "MARIE",
        "middle_name": "REGINA",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-26",
        "last_updated": "2008-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "455456-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2008; 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.