Individual provider Active NPI

Lana Victoria Norville, RN, CDE

  • Diabetes Educator Registered Nurse
  • Bronx, NY
National Provider Identifier
1992330922
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
612244 Issued in NY
Practice address
4234 Bronx Blvd
Bronx, NY 10466-2668
Phone
(347) 341-4300
NPI assigned
Mar 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 612244 NY Primary

Addresses

Primary practice location

4234 Bronx Blvd
Bronx, NY 10466-2668

Mailing address

200 Corporate Blvd S
Yonkers, NY 10701-6806
Phone (347) 853-3276

Other practice location 1

2100 Bartow Ave
Bronx, NY 10475-4614
Phone (718) 320-5300

Other practice location 2

2300 Westchester Ave Ste 302
Bronx, NY 10462-5071
Phone (718) 829-1900

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL EPIC Direct
CONNECT URL EPIC Direct
CONNECT URL EPIC Direct

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
612244NYMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center PastSince Mar 22, 2020 Accepting new patients

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": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1992330922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD S",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016806",
            "telephone_number": "347-853-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 BRONX BLVD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662668",
            "telephone_number": "347-341-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Bartow Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104754614",
            "country_code": "US",
            "telephone_number": "718-320-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Westchester Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104625071",
            "country_code": "US",
            "telephone_number": "718-829-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORVILLE",
        "first_name": "LANA",
        "middle_name": "VICTORIA",
        "credential": "RN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "612244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "endpointDescription": "computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2100 Bartow Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104754614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "endpointDescription": "Computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2300 Westchester Ave Ste 302",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104625071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "endpointDescription": "Computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4234 Bronx Blvd",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104662668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.