Individual provider Active NPI

Danise Victorin

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1699224022
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
275378 Issued in NY
Practice address
100 E 18TH St
2-B
Brooklyn, NY 11226-3745
Phone
(347) 706-0897
NPI assigned
Sep 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 275378 NY Primary

Addresses

Primary practice location

100 E 18TH St
2-B
Brooklyn, NY 11226-3745

Mailing address

100 E 18TH St
2-B
Brooklyn, NY 11226-3745
Phone (347) 706-0897

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
275378NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1699224022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 18TH ST",
            "address_2": "2-B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263745",
            "telephone_number": "347-706-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 18TH ST",
            "address_2": "2-B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263745",
            "telephone_number": "347-706-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORIN",
        "first_name": "DANISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "275378",
            "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 Sep 27, 2016; 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.