Individual provider Active NPI

Nadine Pierre, LPN

  • Licensed Practical Nurse
  • Far Rockaway, NY
National Provider Identifier
1821589730
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
329167 Issued in NY
Practice address
1121 Bayport PL
Far Rockaway, NY 11691-4734
Phone
(631) 740-2355
NPI assigned
May 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

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 329167 NY Primary

Addresses

Primary practice location

1121 Bayport PL
Far Rockaway, NY 11691-4734

Mailing address

1121 Bayport PL
Far Rockaway, NY 11691-4734
Phone (631) 740-2355

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
329167NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pna Solutions LLC Licensed Practical Nurse CurrentSince Jan 26, 2022 Accepting new patients

Locations

1121 Bayport Pl
Far Rockaway, NY 11691
Phone (631) 740-2355

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1821589730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 BAYPORT PL",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914734",
            "telephone_number": "631-740-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 BAYPORT PL",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914734",
            "telephone_number": "631-740-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "NADINE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "329167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.