Individual provider Active NPI

Julie-Ann Cameron, LPN

  • Licensed Practical Nurse
  • Saint Albans, NY
National Provider Identifier
1760704480
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
268043 Issued in NY
Practice address
20528 112TH Ave
Saint Albans, NY 11412-2206
Phone
(718) 776-5347
NPI assigned
Feb 22, 2010
Last updated
Feb 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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 268043 NY Primary

Addresses

Primary practice location

20528 112TH Ave
Saint Albans, NY 11412-2206

Mailing address

20528 112TH Ave
Saint Albans, NY 11412-2206
Phone (718) 776-5347

Other identifiers 1

IdentifierTypeStateIssuer
268043OtherNYNYS NURSING LICENSE LPN

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

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1760704480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20528 112TH AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122206",
            "telephone_number": "718-776-5347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20528 112TH AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122206",
            "telephone_number": "718-776-5347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "JULIE-ANN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "268043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS NURSING LICENSE LPN",
            "identifier": "268043",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.