Individual provider Active NPI

Gertrude Foureau Hyacinthe, LPN

  • Licensed Practical Nurse
  • Freeport, NY
National Provider Identifier
1902242746
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
287546 Issued in NY
Practice address
334 Southside Ave
Freeport, NY 11520-4217
Phone
(516) 382-2394
NPI assigned
May 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2013

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 287546 NY Primary

Addresses

Primary practice location

334 Southside Ave
Freeport, NY 11520-4217

Mailing address

334 Southside Ave
Freeport, NY 11520-4217
Phone (516) 382-2394

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
287546NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1902242746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 SOUTHSIDE AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204217",
            "telephone_number": "516-382-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 SOUTHSIDE AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204217",
            "telephone_number": "516-382-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYACINTHE",
        "first_name": "GERTRUDE",
        "middle_name": "FOUREAU",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "287546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.