Individual provider Active NPI

Naimah Hameed

  • Licensed Practical Nurse
  • Camillus, NY
National Provider Identifier
1467855205
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
10306380 Issued in NY
Practice address
4915 W Genesee St
E2
Camillus, NY 13031-2340
Phone
(315) 299-8227
NPI assigned
Oct 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 10306380 NY Primary

Addresses

Primary practice location

4915 W Genesee St
E2
Camillus, NY 13031-2340

Mailing address

4915 W Genesee St
E2
Camillus, NY 13031-2340
Phone (315) 299-8227

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

LicenseStateTypeSpecialty
10306380NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1467855205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 W GENESEE ST",
            "address_2": "E2",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312340",
            "telephone_number": "315-299-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 W GENESEE ST",
            "address_2": "E2",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312340",
            "telephone_number": "315-299-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEED",
        "first_name": "NAIMAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10306380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.