Individual provider Active NPI

Jacqueline Leopold-Williams, R.N

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1609281922
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
674385 Issued in NY
Practice address
2640 Pitkin Ave
Brooklyn, NY 11208-2629
Phone
(718) 827-8700
NPI assigned
Jun 25, 2014
Last updated
Jun 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 674385 NY Primary

Addresses

Primary practice location

2640 Pitkin Ave
Brooklyn, NY 11208-2629

Mailing address

106 E 95TH St
Brooklyn, NY 11212-2949
Phone (347) 444-4000

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
674385NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1609281922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E 95TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112122949",
            "telephone_number": "347-444-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112082629",
            "telephone_number": "718-827-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEOPOLD-WILLIAMS",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "R.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "674385",
            "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 Jun 25, 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.

Verify at the official NPI Registry.