Individual provider Active NPI

Suzanne Virginia Natividad, RN

  • Registered Nurse
  • Hicksville, NY
National Provider Identifier
1659696219
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
627421-1 Issued in NY
Practice address
120 W John St
Hicksville, NY 11801-1020
Phone
(516) 681-2300
NPI assigned
Apr 7, 2010
Last updated
Apr 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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 627421-1 NY Primary

Addresses

Primary practice location

120 W John St
Hicksville, NY 11801-1020

Mailing address

16357 83Rd St
Howard Beach, NY 11414-3314
Phone (347) 993-9373

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
627421-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1659696219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16357 83RD ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143314",
            "telephone_number": "347-993-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W JOHN ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011020",
            "telephone_number": "516-681-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATIVIDAD",
        "first_name": "SUZANNE",
        "middle_name": "VIRGINIA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "627421-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.