Individual provider Active NPI

Raquel Wallace-Griffiths

  • Registered Nurse
  • Rosedale, NY
National Provider Identifier
1801653159
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
897771 Issued in NY
Practice address
24311 132ND Ave
Rosedale, NY 11422-1408
Phone
(347) 484-7467
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 897771 NY Primary

Addresses

Primary practice location

24311 132ND Ave
Rosedale, NY 11422-1408

Mailing address

24311 132ND Ave
Rosedale, NY 11422-1408
Phone (347) 484-7467

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
897771NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1801653159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24311 132ND AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221408",
            "telephone_number": "347-484-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24311 132ND AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221408",
            "telephone_number": "347-484-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE-GRIFFITHS",
        "first_name": "RAQUEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "897771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.