Individual provider Active NPI

Patrice Ann Hood, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • East Moriches, NY
National Provider Identifier
1841280799
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
331591 Issued in NY
Practice address
41 Bay Ave
East Moriches, NY 11940-1209
Phone
(631) 878-1543
NPI assigned
Oct 24, 2005
Last updated
Sep 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2982561 NY
Adult Health Nurse Practitioner 363LA2200X 3012501 NY
Family Nurse Practitioner 363LF0000X 331591 NY Primary

Addresses

Primary practice location

41 Bay Ave
East Moriches, NY 11940-1209

Mailing address

304 East 3Rd Street
Deer Park, NY 11729-6615
Phone (631) 667-0535

Other identifiers 1

IdentifierTypeStateIssuer
02549984MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040513001596 NY Practitioner - Nurse Practitioner 7618967423 Reassigns benefits to 1 organization
Practice locations: East Moriches, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
331591NYMDInternal Medicine Physician
301250NYMDAdvanced Heart Failure and Transplant Cardiology Physician
2982561NYMDNurse Practitioner
3012501NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine & Rehabilitation of Long Island CurrentSince Jun 1, 2018 Accepting new patients

Locations

234 Orinoco Dr
Brightwaters, NY 11718
Phone (631) 300-0079

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1841280799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 EAST 3RD STREET",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117296615",
            "telephone_number": "631-667-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BAY AVE",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401209",
            "telephone_number": "631-878-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD",
        "first_name": "PATRICE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "2982561",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "3012501",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "331591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02549984",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Moriches, NY

Sources for this page

Verify at the official NPI Registry.