Individual provider Active NPI

Stacey-Ann Yvette Thorpe, LPN

  • Licensed Practical Nurse
  • Queens Village, NY
National Provider Identifier
1659886836
Registry record updated Dec 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
279520 Issued in NY
Practice address
10216 215TH St
Queens Village, NY 11429-1121
Phone
(347) 684-6861
NPI assigned
Dec 9, 2017
Last updated
Dec 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2017

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 279520 NY Primary

Addresses

Primary practice location

10216 215TH St
Queens Village, NY 11429-1121

Mailing address

10216 215TH St
Queens Village, NY 11429-1121
Phone (347) 684-6861

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

NPI Registry JSON

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

{
    "created_epoch": "1512777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512777600000",
    "number": "1659886836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10216 215TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291121",
            "telephone_number": "347-684-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10216 215TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291121",
            "telephone_number": "347-684-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORPE",
        "first_name": "STACEY-ANN",
        "middle_name": "YVETTE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-09",
        "last_updated": "2017-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "279520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2017; 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.