Individual provider Active NPI

Beatrice Louise Tier

  • Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1619994159
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
301346 Issued in NY
Practice address
Three Barker Ave
Park Avenue Medical Associates PC 4TH Floor
White Plains, NY 10601
Phone
(914) 949-1199
Fax
(914) 949-1245
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 301346 NY Primary

Addresses

Primary practice location

Three Barker Ave
Park Avenue Medical Associates PC 4TH Floor
White Plains, NY 10601

Mailing address

3 Barker Ave
4TH Floor
White Plains, NY 10601-1509
Phone (914) 949-1199

Other identifiers 1

IdentifierTypeStateIssuer
01929900MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025001112 NY Practitioner - Nurse Practitioner 2567655335 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC Nurse Practitioner CurrentSince Dec 11, 2013 Accepting new patients
Hospitalist Healthcare Services PLLC Nurse Practitioner CurrentSince Dec 11, 2013 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients

Locations

3530 Wayne Ave
Bronx, NY 10467
Phone (718) 655-1700

111 E 210th St
Bronx, NY 10467

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

17850 Linden Blvd
Rochdale Village, NY 11434
Phone (718) 990-0300

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

3 Barker Ave
Fl 4
White Plains, NY 10601
Phone (914) 949-7900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1619994159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BARKER AVE",
            "address_2": "4TH FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011509",
            "telephone_number": "914-949-1199",
            "fax_number": "914-949-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THREE BARKER AVE",
            "address_2": "PARK AVENUE MEDICAL ASSOCIATES PC 4TH FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10601",
            "telephone_number": "914-949-1199",
            "fax_number": "914-949-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIER",
        "first_name": "BEATRICE",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "301346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01929900",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.