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YESSENIA VALDES
Complete NPI Record 1336691161
Specialist in Woodhaven, NY

NPI Status: Active since October 27, 2016

Contact Information

9009 91 AVE
WOODHAVEN, NY
ZIP 11421
Phone: (347) 569-4592

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider Business Mailing Address Telephone Number
  11. Provider First Line Business Practice Location Address
  12. Provider Business Practice Location Address City Name
  13. Provider Business Practice Location Address State Name
  14. Provider Business Practice Location Address Postal Code
  15. Provider Business Practice Location Address Country Code If outside U S
  16. Provider Business Practice Location Address Telephone Number
  17. Provider Enumeration Date
  18. Last Update Date
  19. Provider Gender Code
  20. Healthcare Provider Taxonomy Code 1
  21. Healthcare Provider Primary Taxonomy Switch 1
  22. Is Sole Proprietor

Complete NPI Dataset

This page represents the complete record for NPI 1336691161. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1336691161
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider First Name: YESSENIA
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: 9009 91ST AVE
Other name by which the organization provider is or has been known.
Provider Business Mailing Address City Name: WOODHAVEN
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider Business Mailing Address State Name: NY
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address Postal Code: 114212623
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address Country Code If outside U S : US
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Telephone Number: 3475694592
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider First Line Business Practice Location Address: 9009 91 AVE
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Practice Location Address City Name: WOODHAVEN
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Practice Location Address State Name: NY
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider Business Practice Location Address Postal Code: 11421
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address Country Code If outside U S : US
The city name in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 3475694592
The State code in the location of the provider being identified.
Provider Enumeration Date: 10/27/2016
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Last Update Date: 10/27/2016
The country code in the location address of the provider being identified.
Provider Gender Code: F
The telephone number associated with the location address of the provider being identified.
Healthcare Provider Taxonomy Code 1: 174400000X
The fax number associated with the location address of the provider being identified.
Healthcare Provider Primary Taxonomy Switch 1: Y
The date the provider was assigned a unique identifier (assigned an NPI).
Is Sole Proprietor: Y
The date that a record was last updated or changed.