Individual provider Active NPI

Michelle Deray Tagayun, RN

  • Registered Nurse
  • White Plains, NY
National Provider Identifier
1447525738
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
560193 Issued in NY
Practice address
70 Virginia Rd
Apt 4E
White Plains, NY 10603-1400
Phone
(914) 831-0190
NPI assigned
Mar 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 560193 NY Primary

Addresses

Primary practice location

70 Virginia Rd
Apt 4E
White Plains, NY 10603-1400

Mailing address

70 Virginia Rd
Apt 4E
White Plains, NY 10603
Phone (914) 831-0190

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
560193NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1447525738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 VIRGINIA RD",
            "address_2": "APT 4E",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10603",
            "telephone_number": "914-831-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 VIRGINIA RD",
            "address_2": "APT 4E",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106031400",
            "telephone_number": "914-831-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGAYUN",
        "first_name": "MICHELLE",
        "middle_name": "DERAY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "560193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.