Individual provider Active NPI

Valerie V Valerie, FNP

  • Family Nurse Practitioner
  • Springfield Gardens, NY
National Provider Identifier
1982490538
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F352977-01 Issued in NY
Practice address
14646 181St St FL 2
Springfield Gardens, NY 11413-3726
Phone
(718) 902-7179
NPI assigned
Apr 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F352977-01 NY Primary

Addresses

Primary practice location

14646 181St St FL 2
Springfield Gardens, NY 11413-3726

Mailing address

14646 181St St FL 2
Springfield Gardens, NY 11413-3726
Phone (718) 902-7179

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423001591 NY Practitioner - Nurse Practitioner 0941725899 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F352977-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of New York, Inc. CurrentSince Apr 28, 2025 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

5232 Witz Dr
North Syracuse, NY 13212
Phone (315) 632-5960

Interoperability endpoints

  • Direct secure messaging: vvalerie18887@direct-prd.molinahealthcare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1982490538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14646 181ST ST FL 2",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133726",
            "telephone_number": "718-902-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14646 181ST ST FL 2",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133726",
            "telephone_number": "718-902-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERIE",
        "first_name": "VALERIE",
        "middle_name": "V",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F352977-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield Gardens, NY

Sources for this page

Verify at the official NPI Registry.