Individual provider Active NPI

Roberta Lemaire, REGISTERED NURSE

  • Registered Nurse
  • Smith Point, NY
National Provider Identifier
1497059174
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
355680-1 Issued in NY
Practice address
42 Argyle Dr
Smith Point, NY 11967-4202
Phone
(631) 578-6871
Fax
(631) 772-1661
NPI assigned
Jan 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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 355680-1 NY Primary

Addresses

Primary practice location

42 Argyle Dr
Smith Point, NY 11967-4202

Mailing address

42 Argyle Dr
Smith Point, NY 11967-4202
Phone (631) 578-6871

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
355680-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1497059174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 ARGYLE DR",
            "city": "SMITH POINT",
            "state": "NY",
            "postal_code": "119674202",
            "telephone_number": "631-578-6871",
            "fax_number": "631-772-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 ARGYLE DR",
            "city": "SMITH POINT",
            "state": "NY",
            "postal_code": "119674202",
            "telephone_number": "631-578-6871",
            "fax_number": "631-772-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMAIRE",
        "first_name": "ROBERTA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "355680-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smith Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.