Individual provider Active NPI

Beatrice Examond

  • Registered Nurse
  • Rockville Centre, NY
National Provider Identifier
1699009720
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
620020 Issued in NY
Practice address
1401 Langdon Blvd
Rockville Centre, NY 11570-3517
Phone
(516) 603-0577
NPI assigned
Sep 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 308305 NY
Registered Nurse 163W00000X 620020 NY Primary

Addresses

Primary practice location

1401 Langdon Blvd
Rockville Centre, NY 11570-3517

Mailing address

1632 Kenneth Avenue
Baldwin, NY 11510
Phone (516) 603-0577

Other names 1

  • Ms. Beatrice Labissiere Former name

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
I20231129002766 NY Order and Referring Only - Nurse Practitioner 9931557071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
620020NYMDRegistered Nurse
308305NYMDLicensed Practical Nurse

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1699009720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 KENNETH AVENUE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "11510",
            "telephone_number": "516-603-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 LANGDON BLVD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703517",
            "telephone_number": "516-603-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXAMOND",
        "first_name": "BEATRICE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308305",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "620020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEATRICE",
            "last_name": "LABISSIERE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.