Active NPI
Alexandria Beverly Comrie, NP
- Adult Health Nurse Practitioner
- Central Islip, NY
National Provider Identifier
1609156827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F305573-1
- Practice address
- 9 Apple St
Central Islip, NY 11722-4302 - Phone
- (631) 234-2921
- NPI assigned
- Aug 18, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F305573-1 | NY | Primary |
| Registered Nurse | 163W00000X | 418580 | NY |
Addresses
Primary practice location
9 Apple St
Central Islip, NY 11722-4302
Mailing address
9 Apple St
Central Islip, NY 11722-4302
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 418580 | NY | MD | Registered Nurse |
| F305573-1 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1609156827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 APPLE ST",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117224302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 APPLE ST",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117224302",
"telephone_number": "631-234-2921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMRIE",
"first_name": "ALEXANDRIA",
"middle_name": "BEVERLY",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-18",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F305573-1",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "418580",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Central Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.