Individual provider Active NPI

Sandra Baudin Jean

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1629445101
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
763700-1 Issued in NY
Practice address
626 E 35TH St Apt 2a
Brooklyn, NY 11203-5525
Phone
(347) 397-4243
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 322983 NY
Registered Nurse 163W00000X 763700-1 NY Primary

Addresses

Primary practice location

626 E 35TH St Apt 2a
Brooklyn, NY 11203-5525

Mailing address

626 E 35TH St Apt 2a
Brooklyn, NY 11203-5525
Phone (347) 397-4243

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

State licenses

LicenseStateTypeSpecialty
763700-1NYMDRegistered Nurse
322983NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1629445101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 E 35TH ST APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112035525",
            "telephone_number": "347-397-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 E 35TH ST APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112035525",
            "telephone_number": "347-397-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUDIN JEAN",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "322983",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "763700-1",
            "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 May 30, 2019; 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.