Empyrean Team H-C

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

EMPYREAN TEAM H-C

Practice address

699 Winthrop St Apt 1
Brooklyn, NY 11203-1808

Phone

(718) 701-1586

Fax

(718) 701-1295

NPI assigned

Feb 28, 2022

Last updated

Feb 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darline Etienne, RNNPI 1124619259

Title

Director

Phone

(718) 701-1586

Specialties & licenses 5

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darline Etienne

  • Registered Nurse
  • Brooklyn, NY
  • NPI 1124619259
  NPD Authorized official

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1952057051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 WINTHROP ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031808",
            "telephone_number": "718-701-1586",
            "fax_number": "718-701-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 WINTHROP ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031808",
            "telephone_number": "718-701-1586",
            "fax_number": "718-701-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPYREAN TEAM H-C",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "DARLINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-701-1586",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Preferred Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.