Individual provider Active NPI

Cali Alyssa Okeefe, LPN

  • Licensed Practical Nurse
  • Oakdale, NY
National Provider Identifier
1780112169
Registry record updated May 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
328758 Issued in NY
Practice address
4021 Wilshire LN
Oakdale, NY 11769-1446
Phone
(631) 806-1750
NPI assigned
May 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2017

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 328758 NY Primary

Addresses

Primary practice location

4021 Wilshire LN
Oakdale, NY 11769-1446

Mailing address

4021 Wilshire LN
Oakdale, NY 11769-1446
Phone (631) 806-1750

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
328758NYMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1780112169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 WILSHIRE LN",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691446",
            "telephone_number": "631-806-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 WILSHIRE LN",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691446",
            "telephone_number": "631-806-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEEFE",
        "first_name": "CALI",
        "middle_name": "ALYSSA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "328758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.