Individual provider Active NPI

Stephanie Ulysse

  • Registered Nurse
  • Rosedale, NY
National Provider Identifier
1659636223
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
646782 Issued in NY
Practice address
258-39A Francis Lewis Blvd
Apt 2
Rosedale, NY 11422
Phone
(516) 444-5681
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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 646782 NY Primary

Addresses

Primary practice location

258-39A Francis Lewis Blvd
Apt 2
Rosedale, NY 11422

Mailing address

25839A Francis Lewis Blvd Apt 2
Rosedale, NY 11422-3305
Phone (516) 444-5681

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
646782NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1659636223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25839A FRANCIS LEWIS BLVD APT 2",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223305",
            "telephone_number": "516-444-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258-39A FRANCIS LEWIS BLVD",
            "address_2": "APT 2",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "11422",
            "telephone_number": "516-444-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULYSSE",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "646782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.