Nyvek Quadir St.James

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

331050 Issued in NY

Practice address

15 Burbank St
Rochester, NY 14621-3315

Phone

(585) 802-7312

NPI assigned

Mar 12, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1528526258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BURBANK ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213315",
            "telephone_number": "585-802-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BURBANK ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213315",
            "telephone_number": "585-802-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST.JAMES",
        "first_name": "NYVEK",
        "middle_name": "QUADIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "331050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSE",
            "identifier": "331050",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas St. John Jr.
• St. John'S Nursing Home Non Occ
• Julia St. Louis, MHC-P
• Thomas William St.Amant, RPA-C
• Monica Marie St.Croix
• Matthew James St.John, MD
• Quinn Staats, BSN, RN
• Stacey L Rone, LCSW, PLLC
• Joan M. Stack, NP
• Kasandra Angelina Stack

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, 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 Mar 12, 2019; 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.