Active NPI
Avalon Richards
- Licensed Practical Nurse
- Rosedale, NY
National Provider Identifier
1932534302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 314321
- Practice address
- 1 Cross Island PLZ
Rosedale, NY 11422-1465 - Phone
- (516) 823-0739
- NPI assigned
- Sep 4, 2013
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 314321 | NY | Primary |
Addresses
Primary practice location
1 Cross Island PLZ
Rosedale, NY 11422-1465
Mailing address
1 Cross Island PLZ
Rosedale, NY 11422-1465
Phone (516) 823-0739
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 314321 | Other | NY | NSO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 314321 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378252800000",
"number": "1932534302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CROSS ISLAND PLZ",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114221465",
"telephone_number": "516-823-0739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CROSS ISLAND PLZ",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114221465",
"telephone_number": "516-823-0739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "AVALON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-04",
"last_updated": "2013-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "314321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NSO",
"identifier": "314321",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rosedale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.