Individual provider Active NPI

Fedlene Lauriston-Janvier, WHNP

  • Women's Health Nurse Practitioner
  • West Islip, NY
National Provider Identifier
1689448946
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
421674 Issued in NY
Practice address
180 Sunrise Hwy
West Islip, NY 11795-2012
Phone
(631) 893-0150
NPI assigned
Nov 8, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood Hudson Peconic Inc 17 clinicians

Practice addresses (Care Compare)

180 Sunrise Hwy
West Islip, NY 11795-2012
Phone (631) 893-0150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916002114 NY Practitioner - Nurse Practitioner 1052852290 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
421674NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Hudson Peconic Inc. CurrentSince Jun 8, 2024 Accepting new patients
Planned Parenthood HP Past Accepting new patients

Locations

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

570 Taxter Rd
Ste 250
Elmsford, NY 10523

755 New York Ave
Ste 333
Huntington, NY 11743
Phone 6314277154 ext. 8005

6 Gramatan Ave
Ste 404
Mount Vernon, NY 10550
Phone (914) 668-7927

150 Lockwood Ave
Ste LL-1
New Rochelle, NY 10801
Phone (914) 632-4442

450 Waverly Ave
Patchogue, NY 11772
Phone (631) 289-1151

70 Maple Ave
Smithtown, NY 11787
Phone (631) 240-1111

25 Perlman Dr
Spring Valley, NY 10977
Phone (845) 426-7577

180 Sunrise Hwy
West Islip, NY 11795
Phone (631) 893-0150

175 Tarrytown Rd
White Plains, NY 10607
Phone (914) 255-0508

20 S Broadway
#11
Yonkers, NY 10701

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 421674 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

180 Sunrise Hwy
West Islip, NY 11795-2012

Mailing address

105 40TH St
Lindenhurst, NY 11757-2703
Phone (516) 967-1662

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 8, 2023.

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1689448946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 40TH ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572703",
            "telephone_number": "516-967-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SUNRISE HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952012",
            "telephone_number": "631-893-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURISTON-JANVIER",
        "first_name": "FEDLENE",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.