Active NPI
Marie Josiane Pacaud, LPN
- Licensed Practical Nurse
- Brooklyn, NY
National Provider Identifier
1982000402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 320200-1
- Practice address
- 363 Linden Blvd
4
Brooklyn, NY 11203-2724 - Phone
- (347) 792-4501
- NPI assigned
- Nov 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 320200-1 | NY | Primary |
Addresses
Primary practice location
363 Linden Blvd
4
Brooklyn, NY 11203-2724
Mailing address
363 Linden Blvd
4
Brooklyn, NY 11203-2724
Phone (347) 792-4501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YLK84777379 | Other | NY | HEALTH PLAN (BLUE CROSS) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 320200-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415664000000",
"number": "1982000402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 LINDEN BLVD",
"address_2": "4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032724",
"telephone_number": "347-792-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 LINDEN BLVD",
"address_2": "4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032724",
"telephone_number": "347-792-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACAUD",
"first_name": "MARIE",
"middle_name": "JOSIANE",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-11",
"last_updated": "2014-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "320200-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN (BLUE CROSS)",
"identifier": "YLK84777379",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.