Individual provider Active NPI

Ivy Mazie Attipoe

  • School Registered Nurse
  • Jamaica, NY
National Provider Identifier
1811645245
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
605551-1 Issued in NY
Practice address
16814 127TH Ave Apt 13D
Jamaica, NY 11434-3160
Phone
(718) 528-7366
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WS0200X 605551-1 NY Primary

Addresses

Primary practice location

16814 127TH Ave Apt 13D
Jamaica, NY 11434-3160

Mailing address

16814 127TH Ave Apt 13D
Jamaica, NY 11434-3160
Phone (718) 528-7366

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address iattipoe@health.nyc.gov Health Information Exchange (HIE)

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
605551-1NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1811645245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16814 127TH AVE APT 13D",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343160",
            "telephone_number": "718-528-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16814 127TH AVE APT 13D",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343160",
            "telephone_number": "718-528-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTIPOE",
        "first_name": "IVY",
        "middle_name": "MAZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "605551-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iattipoe@health.nyc.gov",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16814 127th Ave Apt 13D",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114343160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.