Individual provider Active NPI

Ayesha Etienna Louisaire

  • Nurse Practitioner
  • Middletown, NY
National Provider Identifier
1598655995
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
353998 Issued in NY
Practice address
470 Route 211 E
Middletown, NY 10940-2270
Phone
(845) 524-1753
NPI assigned
Jul 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 353998 NY Primary
Family Nurse Practitioner 363LF0000X 353998 NY

Addresses

Primary practice location

470 Route 211 E
Middletown, NY 10940-2270

Mailing address

470 Route 211 E Ste 24
Middletown, NY 10940-2252

Other names 1

  • Ms. Ayesha Etienna Desir Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251016002416 NY Practitioner - Nurse Practitioner 6204323884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

42 Rykowski LN
Middleton, NY 10941-4018

PO Box
Suite 880
Bealeton, VA 22712-0880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
353998NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons Wellness Family Health NP PLLC CurrentSince Oct 10, 2025 Accepting new patients

Locations

42 Rykowski Ln
Middletown, NY 10941
Phone (845) 673-5554

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1598655995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 ROUTE 211 E STE 24",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 ROUTE 211 E",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402270",
            "telephone_number": "845-524-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUISAIRE",
        "first_name": "AYESHA",
        "middle_name": "ETIENNA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "353998",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYESHA",
            "last_name": "DESIR",
            "middle_name": "ETIENNA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.