Active NPI
Mariefabiola N. Lecorps-Villarreal, LPN
- Licensed Practical Nurse
- Brooklyn, NY
National Provider Identifier
1609034537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 269338
- Practice address
- 85 Bartlett Street
Brooklyn, NY 11206 - Phone
- (718) 387-8163
- Fax
- (212) 531-7514
- NPI assigned
- May 28, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 269338 | NY | Primary |
Addresses
Primary practice location
85 Bartlett Street
Brooklyn, NY 11206
Mailing address
295 Madison Ave
New York, NY 10017-6304
Phone (212) 683-0045
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 |
|---|---|---|---|
| 269338 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Glove | Past | Accepting new patients |
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.
-
- Nursing Care Agency
- Brooklyn, NY
- NPI 1508278680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437696000000",
"number": "1609034537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176304",
"telephone_number": "212-683-0045",
"fax_number": "212-725-2103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 BARTLETT STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11206",
"telephone_number": "718-387-8163",
"fax_number": "212-531-7514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECORPS-VILLARREAL",
"first_name": "MARIEFABIOLA",
"middle_name": "N.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-28",
"last_updated": "2015-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "269338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.