Active NPI
Marie Rochelle Boursiquot, RN
- Registered Nurse
- Briarwood, NY
National Provider Identifier
1912589409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 616736
- Practice address
- 14445 87TH Ave
Briarwood, NY 11435-3109 - Phone
- (718) 480-4010
- NPI assigned
- Apr 23, 2021
- Last updated
- Apr 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 616736 | NY | Primary |
Addresses
Primary practice location
14445 87TH Ave
Briarwood, NY 11435-3109
Mailing address
14445 87TH Ave
Briarwood, NY 11435-3109
Phone (718) 480-4010
Other names 1
- Marie Rochelle Valentin
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 616736 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1912589409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14445 87TH AVE",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114353109",
"telephone_number": "718-480-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14445 87TH AVE",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114353109",
"telephone_number": "718-480-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURSIQUOT",
"first_name": "MARIE",
"middle_name": "ROCHELLE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-23",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "616736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIE",
"last_name": "VALENTIN",
"middle_name": "ROCHELLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Briarwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.