Individual provider Active NPI

Jamiyla Stroud-Garrett, LPN

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1760033690
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
33563201 Issued in NY
Practice address
961 Washington Ave Apt 3E
Brooklyn, NY 11225-2450
Phone
(646) 369-6200
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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 33563201 NY Primary

Addresses

Primary practice location

961 Washington Ave Apt 3E
Brooklyn, NY 11225-2450

Mailing address

961 Washington Ave Apt 3E
Brooklyn, NY 11225-2450
Phone (646) 369-6200

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
33563201NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1760033690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 WASHINGTON AVE APT 3E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112252450",
            "telephone_number": "646-369-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 WASHINGTON AVE APT 3E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112252450",
            "telephone_number": "646-369-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD-GARRETT",
        "first_name": "JAMIYLA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "33563201",
            "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 23, 2019; 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.