Individual provider Active NPI

Dacia Vanveen-Pearson

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1497009211
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
311194 Issued in NY
Practice address
3422 Avenue I
Brooklyn, NY 11210-4124
Phone
(718) 468-6923
NPI assigned
Oct 31, 2012
Last updated
Oct 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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 311194 NY Primary

Addresses

Primary practice location

3422 Avenue I
Brooklyn, NY 11210-4124

Mailing address

3422 Avenue I
Brooklyn, NY 11210-4124
Phone (718) 468-6923

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

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1497009211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3422 AVENUE I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104124",
            "telephone_number": "718-468-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3422 AVENUE I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104124",
            "telephone_number": "718-468-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVEEN-PEARSON",
        "first_name": "DACIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "311194",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 31, 2012; 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.