Individual provider Active NPI

Tatiana Sue Delouis, RN

  • Ambulatory Care Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1811311780
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
664558 Issued in NY
Practice address
1696 E 54TH St
Brooklyn, NY 11234-3922
Phone
(347) 837-4480
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 664558 NY Primary

Addresses

Primary practice location

1696 E 54TH St
Brooklyn, NY 11234-3922

Mailing address

1696 E 54TH St
Brooklyn, NY 11234-3922
Phone (347) 837-4480

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
664558NYMDAmbulatory Care Registered Nurse

Interoperability endpoints

  • Direct secure messaging: tdelouis244709@nyumc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1811311780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 E 54TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343922",
            "telephone_number": "347-837-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 E 54TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343922",
            "telephone_number": "347-837-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOUIS",
        "first_name": "TATIANA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NY",
            "license": "664558",
            "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 Feb 12, 2014; 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.