Individual provider Active NPI

Lourdes Cornier

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1699038158
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
774706 Issued in NY
Practice address
7201 4TH Ave Apt A15
Brooklyn, NY 11209-2511
Phone
(347) 510-7386
NPI assigned
Jun 20, 2012
Last updated
Jun 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 774706 NY Primary

Addresses

Primary practice location

7201 4TH Ave Apt A15
Brooklyn, NY 11209-2511

Mailing address

PO Box 230184
Brooklyn, NY 11223-0184
Phone (347) 510-7386

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

State licenses

LicenseStateTypeSpecialty
774706NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1699038158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230184",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112230184",
            "telephone_number": "347-510-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 4TH AVE APT A15",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092511",
            "telephone_number": "347-510-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNIER",
        "first_name": "LOURDES",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "774706",
            "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 20, 2012; 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.