Organization Active NPI

Nurtured Health Wellness NP in Family Health PLLC

  • Family Nurse Practitioner
  • Freeport, NY
National Provider Identifier
1922804590
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NURTURED HEALTH WELLNESS NP IN FAMILY HEALTH PLLC
Practice address
210 E Sunrise Hwy Ste 148
Freeport, NY 11520-3943
Phone
(917) 264-7728
Fax
(866) 507-2531
NPI assigned
Feb 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Ms. Alana Herard, FNPNPI 1710280938
Title
Owner/Operator
Phone
(917) 304-2484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

210 E Sunrise Hwy Ste 148
Freeport, NY 11520-3943

Mailing address

11032 168TH St
Jamaica, NY 11433-3420
Phone (917) 304-2484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250310000053 NY Part B Supplier - Clinic/Group Practice 9537680368 Receives reassigned benefits from 1 practitioner
Practice locations: Jamaica, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2327826Nurtured Health Wellness NP in Family Health PLLC210 E Sunrise Hwy Ste #148, Freeport, NY 11520Certificate of waiverJul 29, 2027

National Provider Directory

National Provider Directory

Locations

210 E Sunrise Hwy
Ste 148
Freeport, NY 11520
Phone (917) 264-7728

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1922804590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11032 168TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114333420",
            "telephone_number": "917-304-2484",
            "fax_number": "866-507-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E SUNRISE HWY STE 148",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203943",
            "telephone_number": "917-264-7728",
            "fax_number": "866-507-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURED HEALTH WELLNESS NP IN FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "HERARD",
        "authorized_official_first_name": "ALANA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "917-304-2484",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "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 Feb 24, 2025; 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.