Jean Philippe Michael Du Bousquet, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

313395-1 Issued in NY

Practice address

18514 144TH Ave
Springfield Gardens, NY 11413-3211

Phone

(516) 647-3592

NPI assigned

Jul 2, 2013

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1841630027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18514 144TH AVE",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133211",
            "telephone_number": "516-647-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18514 144TH AVE",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133211",
            "telephone_number": "516-647-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DU BOUSQUET",
        "first_name": "JEAN PHILIPPE",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "313395-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Springfield Gardens, NY
• Providers in Springfield Gardens, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.