Active NPI
Bessie Jean
- Licensed Practical Nurse
- Brooklyn, NY
National Provider Identifier
1689960304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 305275
- Practice address
- 1720 Bedford Ave
Apt 17D
Brooklyn, NY 11225-2616 - Phone
- (718) 671-2100
- NPI assigned
- Jun 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 305275 | NY | Primary |
Addresses
Primary practice location
1720 Bedford Ave
Apt 17D
Brooklyn, NY 11225-2616
Mailing address
1720 Bedford Ave
Apt 17D
Brooklyn, NY 11225-2616
Phone (718) 671-2100
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": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1689960304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 BEDFORD AVE",
"address_2": "APT 17D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112252616",
"telephone_number": "718-671-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 BEDFORD AVE",
"address_2": "APT 17D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112252616",
"telephone_number": "718-671-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN",
"first_name": "BESSIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "305275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.