Active NPI
Connie Sue Weydener, CNA
- Nurse's Aide
- East Islip, NY
National Provider Identifier
1740591593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 342949170410E
- Practice address
- 255 E Main St
Apt 34
East Islip, NY 11730-2700 - Phone
- (631) 859-4992
- NPI assigned
- Jun 27, 2010
- Last updated
- Jun 27, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 342949170410E | NY | Primary |
Addresses
Primary practice location
255 E Main St
Apt 34
East Islip, NY 11730-2700
Mailing address
255 E Main St
Apt 34
East Islip, NY 11730-2700
Phone (631) 859-4992
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
| License | State | Type | Specialty |
|---|---|---|---|
| 342949170410E | NY | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277596800000",
"number": "1740591593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 E MAIN ST",
"address_2": "APT 34",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117302700",
"telephone_number": "631-859-4992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E MAIN ST",
"address_2": "APT 34",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117302700",
"telephone_number": "631-859-4992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEYDENER",
"first_name": "CONNIE",
"middle_name": "SUE",
"name_prefix": "Miss",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-27",
"last_updated": "2010-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NY",
"license": "342949170410E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.