Individual provider Active NPI

Joan Vixamar, LPN

  • Personal Care Attendant
  • Bohemia, NY
National Provider Identifier
1477025245
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
296894-1 Issued in NY
Practice address
50 Chelsea CT Apt 16
Bohemia, NY 11716-3927
Phone
(631) 245-9322
NPI assigned
Dec 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X 296894-1 NY Primary

Addresses

Primary practice location

50 Chelsea CT Apt 16
Bohemia, NY 11716-3927

Mailing address

50 Chelsea CT Apt 16
Bohemia, NY 11716-3927
Phone (631) 245-9322

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
296894-1NYMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1477025245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHELSEA CT APT 16",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117163927",
            "telephone_number": "631-245-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHELSEA CT APT 16",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117163927",
            "telephone_number": "631-245-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIXAMAR",
        "first_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NY",
            "license": "296894-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bohemia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.