Individual provider Active NPI

Nadine Andrea Powell Henry, RN

  • Registered Nurse
  • Jamaica, NY
National Provider Identifier
1851866784
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
807011 Issued in NY
Practice address
13011 176TH PL
Jamaica, NY 11434-5849
Phone
(347) 832-7485
NPI assigned
Oct 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 333349 NY
Registered Nurse 163W00000X 807011 NY Primary

Addresses

Primary practice location

13011 176TH PL
Jamaica, NY 11434-5849

Mailing address

13011 176TH PL
Jamaica, NY 11434-5849
Phone (347) 832-7485

Other identifiers 1

IdentifierTypeStateIssuer
23652582OtherNYNCSBN

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
807011NYMDRegistered Nurse
333349NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1851866784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13011 176TH PL",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345849",
            "telephone_number": "347-832-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13011 176TH PL",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345849",
            "telephone_number": "347-832-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL HENRY",
        "first_name": "NADINE",
        "middle_name": "ANDREA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "333349",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "807011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCSBN",
            "identifier": "23652582",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.