Individual provider Active NPI

Lauretta Ann Chiarello, REGISTERED NURSE

  • Registered Nurse
  • Staten Island, NY
National Provider Identifier
1841713500
Registry record updated Jul 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
334906-1 Issued in NY
Practice address
229 Mayberry Promenade
Staten Island, NY 10312-6414
Phone
(718) 317-9240
NPI assigned
Jul 24, 2017
Last updated
Jul 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 334906-1 NY Primary

Addresses

Primary practice location

229 Mayberry Promenade
Staten Island, NY 10312-6414

Mailing address

5 Townley Ave
Staten Island, NY 10314-5635
Phone (917) 270-5790

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
334906-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500854400000",
    "number": "1841713500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TOWNLEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145635",
            "telephone_number": "917-270-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 MAYBERRY PROMENADE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126414",
            "telephone_number": "718-317-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIARELLO",
        "first_name": "LAURETTA",
        "middle_name": "ANN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "334906-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.