Active NPI
Avigail Labrie
- Family Nurse Practitioner
- Valley Stream, NY
National Provider Identifier
1447588793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 340416
- Practice address
- 599 June PL
Valley Stream, NY 11581-3023 - Phone
- (516) 510-2996
- NPI assigned
- Nov 25, 2009
- Last updated
- Jan 19, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 340416 | NY | Primary |
| Registered Nurse | 163W00000X | 621954 | NY |
Addresses
Primary practice location
599 June PL
Valley Stream, NY 11581-3023
Mailing address
599 June PL
Valley Stream, NY 11581-3023
Phone (516) 510-2996
Other practice location 1
729 Mador Ct
Far Rockaway, NY 11691-5320
Phone (718) 471-1997
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 621954 | NY | MD | Registered Nurse |
| 340416 | NY | MD | Family Nurse Practitioner |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Valley Stream, NY
- NPI 1982355301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579392000000",
"number": "1447588793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "599 JUNE PL",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115813023",
"telephone_number": "516-510-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 JUNE PL",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115813023",
"telephone_number": "516-510-2996"
}
],
"practiceLocations": [
{
"address_1": "729 Mador Ct",
"address_purpose": "LOCATION",
"city": "Far Rockaway",
"state": "NY",
"postal_code": "116915320",
"country_code": "US",
"telephone_number": "718-471-1997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LABRIE",
"first_name": "AVIGAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-25",
"last_updated": "2020-01-19",
"certification_date": "2020-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "340416",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "621954",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.