Individual provider Active NPI

Theresa Lenore Grant-Guest

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1750573531
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
170246 Issued in NY
Practice address
730 Lenox Rd
Brooklyn, NY 11203-2235
Phone
(718) 469-7068
NPI assigned
Aug 15, 2007
Last updated
Aug 15, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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 170246 NY Primary

Addresses

Primary practice location

730 Lenox Rd
Brooklyn, NY 11203-2235

Mailing address

730 Lenox Rd
Brooklyn, NY 11203-2235
Phone (718) 469-7068

Other names 1

  • Mrs. Theresa Lenore Guest Other name

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
170246NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1750573531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 LENOX RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032235",
            "telephone_number": "718-469-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 LENOX RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032235",
            "telephone_number": "718-469-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT-GUEST",
        "first_name": "THERESA",
        "middle_name": "LENORE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "170246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "GUEST",
            "middle_name": "LENORE",
            "prefix": "MRS.",
            "credential": "L.P.N.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 15, 2007; 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.