Individual provider Active NPI

Eva Christina Dordal-Turner

  • Prevention Professional
  • Brooklyn, NY
National Provider Identifier
1487193066
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
License
CERTIFICTION Issued in NY
Practice address
470 Dekalb Ave
Apt #10E
Brooklyn, NY 11205-4448
Phone
(347) 799-6153
NPI assigned
Feb 16, 2017
Last updated
Feb 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention Professional 405300000X CERTIFICTION NY Primary

Addresses

Primary practice location

470 Dekalb Ave
Apt #10E
Brooklyn, NY 11205-4448

Mailing address

470 Dekalb Ave
Apt #10E
Brooklyn, NY 11205-4448
Phone (347) 799-6153

Other identifiers 1

IdentifierTypeStateIssuer
XP38634FMedicaidNY

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
CERTIFICTIONNYMDPrevention Professional

NPI Registry JSON

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1487193066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 DEKALB AVE",
            "address_2": "APT #10E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054448",
            "telephone_number": "347-799-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 DEKALB AVE",
            "address_2": "APT #10E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054448",
            "telephone_number": "347-799-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORDAL-TURNER",
        "first_name": "EVA",
        "middle_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NY",
            "license": "CERTIFICTION",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XP38634F",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.