Individual provider Active NPI

Paulette Evadne Terrelonge, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1801536008
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
333758 Issued in NY
Practice address
580 Hegeman Ave FL 1
Brooklyn, NY 11207-7020
Phone
(718) 927-4946
NPI assigned
Mar 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 333758 NY Primary

Addresses

Primary practice location

580 Hegeman Ave FL 1
Brooklyn, NY 11207-7020

Mailing address

791 Drew St FL 1
Brooklyn, NY 11208-4703
Phone (347) 552-8174

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
333758NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1801536008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 DREW ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112084703",
            "telephone_number": "347-552-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 HEGEMAN AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112077020",
            "telephone_number": "718-927-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELONGE",
        "first_name": "PAULETTE",
        "middle_name": "EVADNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "333758",
            "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 Mar 29, 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.