Individual provider Active NPI

Annette Nana Tehn-Addy, R.N.

  • Registered Nurse
  • Deer Park, NY
National Provider Identifier
1487811220
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
559518 Issued in NY
Practice address
221 Old Country Rd
Deer Park, NY 11729-1921
Phone
(631) 940-0454
Fax
(631) 242-3186
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 559518 NY Primary

Addresses

Primary practice location

221 Old Country Rd
Deer Park, NY 11729-1921

Mailing address

221 Old Country Rd
Deer Park, NY 11729-1921
Phone (631) 940-0454

Other names 1

  • Ms. Annette Nana Boahin Former name

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

LicenseStateTypeSpecialty
559518NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1487811220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 OLD COUNTRY RD",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291921",
            "telephone_number": "631-940-0454",
            "fax_number": "631-242-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 OLD COUNTRY RD",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291921",
            "telephone_number": "631-940-0454",
            "fax_number": "631-242-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEHN-ADDY",
        "first_name": "ANNETTE",
        "middle_name": "NANA",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "559518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "BOAHIN",
            "middle_name": "NANA",
            "prefix": "MS.",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.