Individual provider Active NPI

Elisabeth Ann Siebel Given, R.N.

  • Registered Nurse
  • Ronkonkoma, NY
National Provider Identifier
1649552142
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
578268-1 Issued in NY
Practice address
226 Wildwood Rd
Ronkonkoma, NY 11779-4849
Phone
(631) 838-9961
Fax
(631) 648-4957
NPI assigned
Sep 12, 2011
Last updated
Sep 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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 578268-1 NY Primary

Addresses

Primary practice location

226 Wildwood Rd
Ronkonkoma, NY 11779-4849

Mailing address

226 Wildwood Rd
Ronkonkoma, NY 11779-4849
Phone (631) 838-9961

Other names 1

  • Miss Elisabeth Ann Siebel Former name

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
578268-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1649552142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 WILDWOOD RD",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794849",
            "telephone_number": "631-838-9961",
            "fax_number": "631-648-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 WILDWOOD RD",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794849",
            "telephone_number": "631-838-9961",
            "fax_number": "631-648-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBEL GIVEN",
        "first_name": "ELISABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "578268-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "SIEBEL",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.