Active NPI
Anissa Hairston, R.N.
- Registered Nurse
- Hawthorne, NY
National Provider Identifier
1700162351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 614894-1
- Practice address
- 500 Linda Avenue
Hawthorne, NY 10532 - Phone
- (914) 773-6723
- NPI assigned
- Oct 27, 2011
- Last updated
- Oct 27, 2011
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 614894-1 | NY | Primary |
Addresses
Primary practice location
500 Linda Avenue
Hawthorne, NY 10532
Mailing address
116 West 2ND Street
3Rd Floor
Mount Vernon, NY 10550
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 614894-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1700162351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 WEST 2ND STREET",
"address_2": "3RD FLOOR",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "10550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LINDA AVENUE",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "10532",
"telephone_number": "914-773-6723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIRSTON",
"first_name": "ANISSA",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-27",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "614894-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.