Active NPI
Vicenta Pichon, RN
- Home Health Registered Nurse
- Port Jefferson Station, NY
National Provider Identifier
1487520862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 847083
- Practice address
- 40 Shenandoah Blvd
Port Jefferson Station, NY 11776-2041 - Phone
- (631) 882-5508
- NPI assigned
- Oct 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 847083 | NY | Primary |
Addresses
Primary practice location
40 Shenandoah Blvd
Port Jefferson Station, NY 11776-2041
Mailing address
40 Shenandoah Blvd
Port Jefferson Station, NY 11776-2041
Phone (631) 882-5508
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
| License | State | Type | Specialty |
|---|---|---|---|
| 847083 | NY | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1487520862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 SHENANDOAH BLVD",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117762041",
"telephone_number": "631-882-5508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 SHENANDOAH BLVD",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117762041",
"telephone_number": "631-882-5508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICHON",
"first_name": "VICENTA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-14",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "847083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.