Individual provider Active NPI

Carmen Connell-Blair, L.P.N.

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1497163810
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
236262-1 Issued in NY
Practice address
589 E 86TH St
Brooklyn, NY 11236-3226
Phone
(917) 251-6586
NPI assigned
Jul 29, 2014
Last updated
Jul 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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 236262-1 NY Primary

Addresses

Primary practice location

589 E 86TH St
Brooklyn, NY 11236-3226

Mailing address

589 E 86TH St
Brooklyn, NY 11236-3226
Phone (917) 251-6586

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
236262-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1497163810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 E 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363226",
            "telephone_number": "917-251-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 E 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363226",
            "telephone_number": "917-251-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL-BLAIR",
        "first_name": "CARMEN",
        "credential": "L.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "236262-1",
            "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 Jul 29, 2014; 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.