Ruvimbo Hazel Lettieri

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F342397-1 Issued in NY

Practice address

101 Hospital Rd
Patchogue, NY 11772-4870

Phone

(631) 654-7100

NPI assigned

Mar 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ruvinbo Hazel Nyakurimwa Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1972801439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "SPEONK",
            "state": "NY",
            "postal_code": "119720423",
            "telephone_number": "917-346-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL RD",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117724870",
            "telephone_number": "631-654-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 W 113th St",
            "address_2": "apt 2A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100263460",
            "country_code": "US",
            "telephone_number": "212-719-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LETTIERI",
        "first_name": "RUVIMBO",
        "middle_name": "HAZEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342397-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUVINBO",
            "last_name": "NYAKURIMWA",
            "middle_name": "HAZEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marisa Lelia Hayes, L.C.S.W.
• Alexandra Ann Lennon, LCSW
• Blossom Corinne Lentz, CF-SLP, TSSLD
• Carly L. Lentz, SPEECH THERAPIST
• Let It Go Janet White Adult Health Nurse Practitioner PC
• Keith Francis Levinson, DPT
• Donamar Lewis, NP
• Gregory John Lewis, LCSW
• Li Medical Care PLLC
• Li-Kun F Lee

• Family Nurse Practitioner in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.