Active NPI
Fabienne Pierre-Etienne, LPN
- Licensed Practical Nurse
- New York, NY
National Provider Identifier
1609116169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 300556-1
- Practice address
- 1430 Broadway FL 7
New York, NY 10018-3308 - Phone
- (212) 847-2977
- NPI assigned
- Feb 20, 2013
- 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 | 300556-1 | NY | Primary |
Addresses
Primary practice location
1430 Broadway FL 7
New York, NY 10018-3308
Mailing address
106 Clarkson Ave Apt 3H
Brooklyn, NY 11226-2050
Phone (347) 789-1657
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 |
|---|---|---|---|
| 300556-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1609116169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 CLARKSON AVE APT 3H",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112262050",
"telephone_number": "347-789-1657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 BROADWAY FL 7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100183308",
"telephone_number": "212-847-2977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERRE-ETIENNE",
"first_name": "FABIENNE",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-20",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "300556-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.