VERONICA BLAKELY-EWART
Complete NPI Record 1467763821
Registered Nurse - School in Brooklyn, NY

NPI Status: Active since June 30, 2010

Contact Information

790 ELDERT LN
APT 8R
BROOKLYN, NY
ZIP 11208
Phone: (718) 277-0234

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Complete NPI Dataset

This page represents the complete record for NPI 1467763821. 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: 1467763821
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider First Name: VERONICA
The first name of the provider, if the provider is an individual.
Provider First Line Business Mailing Address: 790 ELDERT LN
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 Second Line Business Mailing Address: APT 8R
The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
Provider Business Mailing Address City Name: BROOKLYN
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: NY
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 Postal Code: 112084753
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 Business Mailing Address Country Code If outside U S : US
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 Mailing Address Telephone Number: 7182770234
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 First Line Business Practice Location Address: 790 ELDERT LN
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 Second Line Business Practice Location Address: APT 8R
The second 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 City Name: BROOKLYN
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: NY
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 112084753
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 second 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 Telephone Number: 7182770234
The city name in the location address of the provider being identified.
Provider Enumeration Date: 6/30/2010
The State code in the location of the provider being identified.
Last Update Date: 6/30/2010
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Gender Code: F
The country code in the location address of the provider being identified.
Healthcare Provider Taxonomy Code 1: 163WS0200X
The telephone number associated with the location address of the provider being identified.
Provider License Number 1: 3279251
The fax number associated with the location address of the provider being identified.
Provider License Number State Code 1: NY
The date the provider was assigned a unique identifier (assigned an NPI).
Healthcare Provider Primary Taxonomy Switch 1: Y
The date that a record was last updated or changed.
Is Sole Proprietor: Y
The code designating the provider’s gender if the provider is a person.