Individual provider Active NPI

Tanika Diakhite, LPN

  • Licensed Practical Nurse
  • Union, NJ
National Provider Identifier
1962759712
Registry record updated Aug 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
278798-1 Issued in NY
Practice address
1751 Walker Ave
Apt D
Union, NJ 07083-4443
Phone
(347) 224-5704
NPI assigned
Aug 11, 2012
Last updated
Aug 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2012

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 278798-1 NY Primary

Addresses

Primary practice location

1751 Walker Ave
Apt D
Union, NJ 07083-4443

Mailing address

1751 Walker Ave
Apt D
Union, NJ 07083-4443
Phone (347) 224-5704

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
278798-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1344643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344643200000",
    "number": "1962759712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 WALKER AVE",
            "address_2": "APT D",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834443",
            "telephone_number": "347-224-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 WALKER AVE",
            "address_2": "APT D",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834443",
            "telephone_number": "347-224-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAKHITE",
        "first_name": "TANIKA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-11",
        "last_updated": "2012-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "278798-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2012; 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.