Active NPI
Henrietta Udeen Noicely
- Family Nurse Practitioner
- North Babylon, NY
National Provider Identifier
1417321092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F341443
- Practice address
- 19 Jane Dr
North Babylon, NY 11703-2307 - Phone
- (718) 810-2815
- NPI assigned
- Nov 19, 2015
- Last updated
- Aug 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F341443 | NY | Primary |
| Registered Nurse | 163W00000X | 562740 | NY |
Addresses
Primary practice location
19 Jane Dr
North Babylon, NY 11703-2307
Mailing address
19 Jane Dr
North Babylon, NY 11703-2307
Phone (718) 810-2815
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 |
|---|---|---|---|
| 562740 | NY | MD | Registered Nurse |
| F341443 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1417321092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 JANE DR",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117032307",
"telephone_number": "718-810-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 JANE DR",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117032307",
"telephone_number": "718-810-2815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOICELY",
"first_name": "HENRIETTA",
"middle_name": "UDEEN",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-19",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F341443",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "562740",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.