Individual provider Active NPI

Paulette Vivienne Tomlinson-Fullman

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1881398535
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
294609-01 Issued in NY
Practice address
310 Ridgewood Ave
Brooklyn, NY 11208-1373
Phone
(646) 474-5746
NPI assigned
Mar 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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 294609-01 NY Primary

Addresses

Primary practice location

310 Ridgewood Ave
Brooklyn, NY 11208-1373

Mailing address

310 Ridgewood Ave
Brooklyn, NY 11208-1373
Phone (646) 474-5746

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
294609-01NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1881398535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 RIDGEWOOD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081373",
            "telephone_number": "646-474-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 RIDGEWOOD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081373",
            "telephone_number": "646-474-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLINSON-FULLMAN",
        "first_name": "PAULETTE VIVIENNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "294609-01",
            "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 Jun 26, 2024; 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.