NEVADA STREET
NPI 1285082578
Licensed Practical Nurse in Staten Island, NY

Q: What is Nevada Street's NPI number?

The NPI number for Nevada Street is 1285082578. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Q: What is Nevada Street's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nevada Street was last updated on May 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 27, 2016

300A LOCKMAN AVE, STATEN ISLAND, NY 10303(718) 619-2386 Get Directions Write a Review

NPPES record last updated: May 27, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Nevada Street NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEVADA STREET (NPI 1285082578) is an individual licensed practical nurse in Staten Island, New York, licensed in New York (310739-1) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1285082578

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameNEVADA STREET

Location Address300A LOCKMAN AVEStaten Island, NY 10303-1882

Mailing Address300a Lockman AveStaten Island, NY 10303-1882

Phone(718) 619-2386

Sole ProprietorYes

Enumeration DateMay 27, 2016

✔ NPI 1285082578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 310739-1

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

300A LOCKMAN AVE, Staten Island, NY 10303

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nevada Street's NPI number?

The NPI number for Nevada Street is 1285082578. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Nevada Street located?

Nevada Street practices at 300A Lockman Ave, Staten Island, NY 10303. The listed phone number is (718) 619-2386.

What is Nevada Street's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Nevada Street was last updated on May 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.