Individual provider Active NPI

Debra Mejia-Scott, LPN

  • Licensed Practical Nurse
  • Oakdale, NY
National Provider Identifier
1952785396
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
364111-1 Issued in NY
Practice address
305 Locust Ave
Oakdale, NY 11769-1652
Phone
(631) 218-5900
NPI assigned
Jul 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 364111-1 NY Primary

Addresses

Primary practice location

305 Locust Ave
Oakdale, NY 11769-1652

Mailing address

35 Abinet CT
Selden, NY 11784-2024
Phone (631) 949-3957

Other identifiers 1

IdentifierTypeStateIssuer
364111-1OtherNYNYS LICENSE PRATICAL NURSE

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

LicenseStateTypeSpecialty
364111-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1952785396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ABINET CT",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842024",
            "telephone_number": "631-949-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 LOCUST AVE",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691652",
            "telephone_number": "631-218-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA-SCOTT",
        "first_name": "DEBRA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "364111-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE PRATICAL NURSE",
            "identifier": "364111-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.