Individual provider Active NPI

Jacqueline Zinsou, LPN/RN

  • Registered Nurse
  • Lake Grove, NY
National Provider Identifier
1972751071
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
627980 Issued in NY
Practice address
2 Alex CT
Lake Grove, NY 11755-2473
Phone
(631) 738-1017
NPI assigned
Sep 3, 2008
Last updated
Nov 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 627980 NY Primary
Licensed Practical Nurse 164W00000X 250385 NY

Addresses

Primary practice location

2 Alex CT
Lake Grove, NY 11755-2473

Mailing address

2 Alex CT
Lake Grove, NY 11755-2473
Phone (631) 738-1017

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
627980NYMDRegistered Nurse
250385NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1972751071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ALEX CT",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552473",
            "telephone_number": "631-738-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ALEX CT",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552473",
            "telephone_number": "631-738-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINSOU",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "LPN/RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "627980",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "250385",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Grove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.