Individual provider Active NPI

Vivienne Esty

  • Case Management Registered Nurse
  • Bronx, NY
National Provider Identifier
1760136832
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
394320-1 Issued in NY
Practice address
2941 Bronxwood Ave
Bronx, NY 10469-3629
Phone
(917) 565-1014
NPI assigned
Feb 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 394320-1 NY Primary

Addresses

Primary practice location

2941 Bronxwood Ave
Bronx, NY 10469-3629

Mailing address

1391 NW 136TH Ave
Sunrise, FL 33323-2800

Other identifiers 1

IdentifierTypeStateIssuer
394320-1OtherNYCASE MANAGER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Vivienne.Esty@choosebroadspire.com

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
394320-1NYMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1760136832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 NW 136TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 BRONXWOOD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693629",
            "telephone_number": "917-565-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTY",
        "first_name": "VIVIENNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "394320-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASE MANAGER",
            "identifier": "394320-1",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Vivienne.Esty@choosebroadspire.com",
            "affiliation": "N",
            "address_1": "2941 Bronxwood Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104693629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.