Active NPI
Linda Christine Vlay, APN.
- Psychiatric/Mental Health Nurse Practitioner
- Port Jefferson, NY
National Provider Identifier
1962572669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F400090-1
- Practice address
- 1227 Main St
Port Jefferson, NY 11777-2227 - Phone
- (631) 474-1444
- Fax
- (631) 474-1444
- NPI assigned
- Nov 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F400090 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F400090-1 | NY | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | F301572-1 | NY |
Addresses
Primary practice location
1227 Main St
Port Jefferson, NY 11777-2227
Mailing address
1227 Main St
Port Jefferson, NY 11777-2227
Phone (631) 474-1444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0168228 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090922000424 | NY | Practitioner - Nurse Practitioner | 1951457647 | Practice locations: Port Jefferson, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1227 Main St
Port Jefferson, NY 11777-2227
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F301572-1 | NY | MD | Adult Health Nurse Practitioner |
| F400090 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| F400090-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1962572669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 MAIN ST",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772227",
"telephone_number": "631-474-1444",
"fax_number": "631-474-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 MAIN ST",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772227",
"telephone_number": "631-474-1444",
"fax_number": "631-474-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VLAY",
"first_name": "LINDA",
"middle_name": "CHRISTINE",
"credential": "APN.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F400090",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F400090-1",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F301572-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0168228",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.