Active NPI
Conisha Tarver, RN
- Registered Nurse
- Long Island City, NY
National Provider Identifier
1629418751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 668888-1
- Practice address
- 2811 Queens PLZ N # 5TH
Long Island City, NY 11101-4172 - Phone
- (718) 391-8300
- NPI assigned
- Jul 3, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 668888-1 | NY | Primary |
Addresses
Primary practice location
2811 Queens PLZ N # 5TH
Long Island City, NY 11101-4172
Mailing address
656 Stanton Ave
North Baldwin, NY 11510-1734
Phone (347) 730-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 668888-1 | Other | NY | RN LIC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 668888-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1629418751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "656 STANTON AVE",
"city": "NORTH BALDWIN",
"state": "NY",
"postal_code": "115101734",
"telephone_number": "347-730-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 QUEENS PLZ N # 5TH",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014172",
"telephone_number": "718-391-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARVER",
"first_name": "CONISHA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-03",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "668888-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LIC",
"identifier": "668888-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.