Individual provider Active NPI

Felicia Stallworth, RN

  • General Practice Registered Nurse
  • New York, NY
National Provider Identifier
1699003061
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
419526-1 Issued in NY
Practice address
464 W 141St St
New York, NY 10031-6202
Phone
(347) 677-6422
Fax
(212) 810-2890
NPI assigned
Nov 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 419526-1 NY Primary
Medical-Surgical Registered Nurse 163WM0705X 419526-1 NY
Registered Nurse 163W00000X 419526-1 NY
Administrator Registered Nurse 163WA2000X 419526-1 NY
Critical Care Medicine Registered Nurse 163WC0200X 419526-1 NY
Cardiac Rehabilitation Registered Nurse 163WC3500X 419526-1 NY
Diabetes Educator Registered Nurse 163WD0400X 419526-1 NY
Emergency Registered Nurse 163WE0003X 419526-1 NY
Home Health Registered Nurse 163WH0200X 419526-1 NY
Low-Risk Neonatal Registered Nurse 163WN0003X 419526-1 NY
Pediatric Registered Nurse 163WP0200X 419526-1 NY
Urology Registered Nurse 163WU0100X 419526-1 NY

Addresses

Primary practice location

464 W 141St St
New York, NY 10031-6202

Mailing address

464 W 141St St
New York, NY 10031-6202
Phone (347) 677-6422

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
419526-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mobilewoods Ambulette and Transportation Corporation Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1699003061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 W 141ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100316202",
            "telephone_number": "347-677-6422",
            "fax_number": "212-810-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 W 141ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100316202",
            "telephone_number": "347-677-6422",
            "fax_number": "212-810-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLWORTH",
        "first_name": "FELICIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "419526-1",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "419526-1",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "419526-1",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "419526-1",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "419526-1",
            "primary": false
        },
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "NY",
            "license": "419526-1",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "419526-1",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NY",
            "license": "419526-1",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "419526-1",
            "primary": false
        },
        {
            "code": "163WN0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal, Low-Risk",
            "state": "NY",
            "license": "419526-1",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "419526-1",
            "primary": false
        },
        {
            "code": "163WU0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Urology",
            "state": "NY",
            "license": "419526-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.