Individual provider Active NPI

Fatumata Bayo

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1912256751
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
310973-1 Issued in NY
Practice address
1368 Webster Ave
21 F
Bronx, NY 10456-1810
Phone
(917) 688-1547
NPI assigned
Sep 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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 310973-1 NY Primary

Addresses

Primary practice location

1368 Webster Ave
21 F
Bronx, NY 10456-1810

Mailing address

1368 Webster Ave
21 F
Bronx, NY 10456-1810
Phone (917) 688-1547

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
310973-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1912256751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 WEBSTER AVE",
            "address_2": "21 F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104561810",
            "telephone_number": "917-688-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 WEBSTER AVE",
            "address_2": "21 F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104561810",
            "telephone_number": "917-688-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYO",
        "first_name": "FATUMATA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "310973-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.