Individual provider Active NPI

Andre Registre Sr., LPN

  • Licensed Practical Nurse
  • Thiells, NY
National Provider Identifier
1649627977
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
324463 Issued in NY
Practice address
7 Wilbur Rd
Thiells, NY 10984-7555
Phone
(845) 426-6130
NPI assigned
May 17, 2016
Last updated
May 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 324463 NY Primary

Addresses

Primary practice location

7 Wilbur Rd
Thiells, NY 10984-7555

Mailing address

7 Wilbur Rd
Thiells, NY 10984-7555
Phone (845) 426-6130

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
324463NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office Past Accepting new patients

Organizations & group practices 1

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": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1649627977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WILBUR RD",
            "city": "THIELLS",
            "state": "NY",
            "postal_code": "109847555",
            "telephone_number": "845-426-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WILBUR RD",
            "city": "THIELLS",
            "state": "NY",
            "postal_code": "109847555",
            "telephone_number": "845-426-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGISTRE",
        "first_name": "ANDRE",
        "name_suffix": "Sr.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "324463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thiells, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.