Individual provider Active NPI

Dianne McNeshie, LPN

  • Licensed Practical Nurse
  • Jamaica, NY
National Provider Identifier
1871781856
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
242949 Issued in NY
Practice address
17020 130TH Ave
Suite 7E
Jamaica, NY 11434-3283
Phone
(646) 242-6683
Fax
(646) 242-6683
NPI assigned
Oct 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 242949 NY Primary

Addresses

Primary practice location

17020 130TH Ave
Suite 7E
Jamaica, NY 11434-3283

Mailing address

17020 130TH Ave
Suite 7E
Jamaica, NY 11434-3283
Phone (646) 242-6683

Other identifiers 1

IdentifierTypeStateIssuer
242949OtherNYNY LICENSE NUMBER

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
242949NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1871781856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17020 130TH AVE",
            "address_2": "SUITE 7E",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343283",
            "telephone_number": "646-242-6683",
            "fax_number": "646-242-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17020 130TH AVE",
            "address_2": "SUITE 7E",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114343283",
            "telephone_number": "646-242-6683",
            "fax_number": "646-242-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNESHIE",
        "first_name": "DIANNE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "242949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE NUMBER",
            "identifier": "242949",
            "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 Apr 20, 2011; 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.