Divina Gracia A Llanes

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

440292 Issued in NY

Practice address

1500 Waters PL
Bronx, NY 10461-2723

Phone

(929) 348-3218

NPI assigned

Oct 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1932741246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 FOWLER AVE PH",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623709",
            "telephone_number": "917-773-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WATERS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612723",
            "telephone_number": "929-348-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLANES",
        "first_name": "DIVINA GRACIA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "440292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Salvatore Lizzio, D.C.
• Joseph A Lizzul, PHARMACIST
• Danielle Ljubicich
• LL Kidz Services Inc
• Llama Limo Car Service Corp
• Josefina F Llena, MD
• Ruth Corazon Llerena Benites, MD
• Florijana Lleshi
• Sean Rogers Llewellyn, MD, PHD
• Assana T Lloyd, LMSW

• Adult Psychiatric/Mental Health Registered Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Adult Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.