Active NPI
Beatrice Examond
- Registered Nurse
- Rockville Centre, NY
National Provider Identifier
1699009720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 620020
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231129002766 | NY | Order and Referring Only - Nurse Practitioner | 9931557071 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 620020 | NY | MD | Registered Nurse |
| 308305 | NY | MD | Licensed 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.