Hillary Elise Fairbanks, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

382706 Issued in NY

Practice address

774 Saratoga Ave
Brooklyn, NY 11212-4439

Phone

(718) 257-7208

Fax

(718) 566-7045

NPI assigned

Oct 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: hfairbanks675300@nychhc.direct-ci.com

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1831641893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 SARATOGA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112124439",
            "telephone_number": "718-257-7208",
            "fax_number": "718-566-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 SARATOGA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112124439",
            "telephone_number": "718-257-7208",
            "fax_number": "718-566-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRBANKS",
        "first_name": "HILLARY",
        "middle_name": "ELISE",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Faineh
• Yelena Fainshtein, PA
• Fair Care Pharmacy Inc (Iqra Pharmacy & Surgicals)
• Fair Podiatry Practice PLLC
• Danielle A Fairbairn-Bland, LCSW
• Fairbridge OT PC
• Bethany Mae Fairchild
• Millicent Fairclough, RN
• Fairfield Pharmacy Inc
• Acanthus Nicole Fairley, LMSW

• Pediatric Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.