West Lawrence NP Family Health PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

WEST LAWRENCE NP FAMILY HEALTH PLLC

Practice address

509 Jarvis Ave
Far Rockaway, NY 11691-5442

Phone

(917) 509-6962

Fax

(718) 471-7247

NPI assigned

Oct 20, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Sporn, NPNPI 1639485022

Title

Owner

Phone

(917) 509-6962

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Sporn, FNP

  • Family Nurse Practitioner
  • Richmond Hill, NY
  • NPI 1639485022
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1881311900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 JARVIS AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915442",
            "telephone_number": "917-509-6962",
            "fax_number": "718-471-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 JARVIS AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915442",
            "telephone_number": "917-509-6962",
            "fax_number": "718-471-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LAWRENCE NP FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "SPORN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-509-6962",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Quianna West
• Iesha Nate Whitaker, LMSW
• Nokosha Whittle
• Whole Child SLP PC
• Coleen D Whyte, LPN

• Nurse Practitioner in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.