Roseline Pierre Ridore, REGISTERED NURSE

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

320942 Issued in NY

Practice address

125 Newport St
Brooklyn, NY 11212-5306

Phone

(718) 576-8959

NPI assigned

Jan 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1518356401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NEWPORT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125306",
            "telephone_number": "718-576-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 NEWPORT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125306",
            "telephone_number": "718-576-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE RIDORE",
        "first_name": "ROSELINE",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "320942",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "731246",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lourdy Pierre Louis
• Marie Pierre Louis
• Melissa Pierre Louis
• Sara Lee Pierre Louis
• Miole Pierre Pigeot, M.D.
• Paula Pierre Viciere
• Lynn Pierre- Louis
• Tanisha Pierre-Antoine
• Lourdianie Pierre-Charles, MD
• Fadja Pierre-Etienne

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.