Active NPI
Lafleur Theresa Chakraverty, NP
- Psychiatric/Mental Health Nurse Practitioner
- East Elmhurst, NY
National Provider Identifier
1699398248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F402780-01
- Practice address
- 2345 94TH St
East Elmhurst, NY 11369-1138 - Phone
- (347) 210-1583
- NPI assigned
- May 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F402780-01 | NY | Primary |
Addresses
Primary practice location
2345 94TH St
East Elmhurst, NY 11369-1138
Mailing address
2345 94TH St
East Elmhurst, NY 11369-1138
Phone (347) 210-1583
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F402780-01 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589760000000",
"number": "1699398248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 94TH ST",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113691138",
"telephone_number": "347-210-1583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 94TH ST",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113691138",
"telephone_number": "347-210-1583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAKRAVERTY",
"first_name": "LAFLEUR",
"middle_name": "THERESA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-18",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F402780-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.