Individual provider Active NPI

Myldred Previl

  • School Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1861700577
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
521156 Issued in NY
Practice address
497 Linden Blvd
Apt A6
Brooklyn, NY 11203-2901
Phone
(718) 604-7533
NPI assigned
Sep 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 521156 NY Primary

Addresses

Primary practice location

497 Linden Blvd
Apt A6
Brooklyn, NY 11203-2901

Mailing address

497 Linden Blvd
Apt A6
Brooklyn, NY 11203-2901
Phone (718) 604-7533

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
521156NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1861700577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 LINDEN BLVD",
            "address_2": "APT A6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032901",
            "telephone_number": "718-604-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 LINDEN BLVD",
            "address_2": "APT A6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032901",
            "telephone_number": "718-604-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVIL",
        "first_name": "MYLDRED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "521156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.