Active NPI
Natacha Jean
- Licensed Practical Nurse
- Central Islip, NY
National Provider Identifier
1609420124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 335573
- Practice address
- 485 Irving St
Central Islip, NY 11722-3719 - Phone
- (347) 596-3013
- NPI assigned
- Aug 1, 2019
- 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 | 335573 | NY | Primary |
Addresses
Primary practice location
485 Irving St
Central Islip, NY 11722-3719
Mailing address
485 Irving St
Central Islip, NY 11722-3719
Phone (347) 596-3013
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1609420124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 IRVING ST",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117223719",
"telephone_number": "347-596-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 IRVING ST",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117223719",
"telephone_number": "347-596-3013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN",
"first_name": "NATACHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-01",
"last_updated": "2023-03-06",
"certification_date": "2023-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "335573",
"primary": true
}
],
"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 Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.