Active NPI
Alysondra Robinson Bacarella
- Licensed Practical Nurse
- Middle Island, NY
National Provider Identifier
1578855128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 301948-1
- Practice address
- 11 Patricia CT
Middle Island, NY 11953-1417 - Phone
- (631) 413-4259
- NPI assigned
- May 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 301948-1 | NY | Primary |
Addresses
Primary practice location
11 Patricia CT
Middle Island, NY 11953-1417
Mailing address
11 Patricia Court
Middle Island, NY 11953
Phone (631) 413-4259
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
| License | State | Type | Specialty |
|---|---|---|---|
| 301948-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1578855128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PATRICIA COURT",
"city": "MIDDLE ISLAND",
"state": "NY",
"postal_code": "11953",
"telephone_number": "631-413-4259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 PATRICIA CT",
"city": "MIDDLE ISLAND",
"state": "NY",
"postal_code": "119531417",
"telephone_number": "631-413-4259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACARELLA",
"first_name": "ALYSONDRA",
"middle_name": "ROBINSON",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-13",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "301948-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middle Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.