Individual provider Active NPI

Alsacia L. Sepulveda - Pacsi

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1558819300
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
353126-1 Issued in NY
Practice address
2869 Grand Concourse
Suite #1
Bronx, NY 10468-1966
Phone
(718) 676-4177
NPI assigned
Sep 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 353126-1 NY Primary

Addresses

Primary practice location

2869 Grand Concourse
Suite #1
Bronx, NY 10468-1966

Mailing address

2869 Grand Concourse
Suite #1
Bronx, NY 10468-1966

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
353126-1NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1558819300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2869 GRAND CONCOURSE",
            "address_2": "SUITE #1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2869 GRAND CONCOURSE",
            "address_2": "SUITE #1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104681966",
            "telephone_number": "718-676-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA - PACSI",
        "first_name": "ALSACIA",
        "middle_name": "L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353126-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.