ETIENNA FANORD
NPI 1104120591
Licensed Practical Nurse in Brooklyn, NY
NPI Status: Active since December 29, 2010
Contact Information
1809 NOSTRAND AVE STE 2
BROOKLYN, NY
ZIP 11226
Phone: (718) 421-4224
Fax: (718) 421-4774
- Individual
- Male
- Licensed Practical Nurse
About ETIENNA FANORD
This page provides the complete NPI Profile along with additional information for Etienna Fanord, a provider established in Brooklyn, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1104120591 assigned on December 2010. The practitioner's primary taxonomy code is 164W00000X with license number 302194-1 (NY). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1104120591
- Provider Name
- ETIENNA FANORD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1809 NOSTRAND AVE STE 2 BROOKLYN, NY 11226
- Location Phone
- (718) 421-4224
- Location Fax
- (718) 421-4774
- Mailing Address
- 1809 NOSTRAND AVE STE 2 BROOKLYN, NY 11226
- Mailing Phone
- (718) 421-4224
- Mailing Fax
- (718) 421-4774
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-29-2010
- Last Update Date
- 12-29-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 302194-1
- License State
- NY
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 02386450 | MEDICAID (05) | NY |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 1 | 2 | 0 | 5 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 2 | 2 | 0 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 2 + 2 + 0 + 5 + 1 + 8 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1104120591 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1376794867 | MS. SUSAN JOHNSON Individual | Licensed Practical Nurse | 1809 NOSTRAND AVE STE 2 BROOKLYN, NY 11226 (718) 421-4224 |
| 1770801532 | YVETTE AHRENDTS Individual | Licensed Practical Nurse | 1809 NOSTRAND AVE STE 2 SUITE 1 BROOKLYN, NY 11226 (718) 421-4224 |
| 1023336856 | MS. ELOISA OCAMPO Individual | Registered Nurse | 1809 NOSTRAND AVE STE 2 SUITE1 BROOKLYN, NY 11226 (718) 421-4224 |
| 1720390768 | MARCELLE BENOIT Individual | Registered Nurse | 1809 NOSTRAND AVE STE 2 SUITE 1 BROOKLYN, NY 11226 (718) 421-4224 |
| 1104130723 | MYRIAM WAINWRIGHT Individual | Licensed Practical Nurse | 1809 NOSTRAND AVE STE 2 SUITE 1 BROOKLYN, NY 11226 (718) 421-4224 |
| 1093021487 | SHAVAUGHN BLOUNT Individual | Licensed Practical Nurse | 1809 NOSTRAND AVE STE 2 SUITE 1 BROOKLYN, NY 11226 (718) 421-4224 |
| 1619286564 | MS. BETTIE PIERRE Individual | Licensed Practical Nurse | 1809 NOSTRAND AVE STE 2 SUITE BROOKLYN, NY 11226 (718) 421-4224 |
| 1457655854 | LIDIYA VLASOVA Individual | Licensed Practical Nurse | 1809 NOSTRAND AVE STE 2 BROOKLYN, NY 11226 (718) 421-4224 |
| 1659676179 | MARQUIS SIMON Individual | Registered Nurse | 1809 NOSTRAND AVE STE 2 SUITE 2 BROOKLYN, NY 11226 (718) 421-4224 |
| 1285939744 | LUCINDA SEONGBAE Individual | Registered Nurse | 1809 NOSTRAND AVE STE 2 SUITE 2 BROOKLYN, NY 11226 (718) 421-4224 |
| 1528364080 | MELISSA JEROME Individual | Registered Nurse | 1809 NOSTRAND AVE STE 2 BROOKLYN, NY 11226 (718) 421-4224 |
| 1437448990 | TASHIBA THOMAS Individual | Registered Nurse | 1809 NOSTRAND AVE STE 2 SUITE 1 BROOKLYN, NY 11226 (718) 421-4224 |
| 1821388596 | SVETLANA MOKROVA Individual | Registered Nurse | 1809 NOSTRAND AVE STE 2 SUITE 1 BROOKLYN, NY 11226 (718) 421-4224 |
| 1265777270 | MRS. MONICA SIMONE MURPHY-MARSHALL RN Individual | Registered Nurse | 1809 NOSTRAND AVE STE 2 BROOKLYN, NY 11226 (718) 421-4224 |
| 1306278031 | CARCHANDE JOSEPH Individual | Licensed Practical Nurse | 1809 NOSTRAND AVE STE 2 BROOKLYN, NY 11226 (718) 421-4224 |
| 1821420555 | DENISE SABINO Individual | Registered Nurse | 1809 NOSTRAND AVE STE 2 BROOKLYN, NY 11226 (718) 421-4224 |
| 1235561978 | SHANTELLE PRADOS Individual | Licensed Practical Nurse | 1809 NOSTRAND AVE STE 2 BROOKLYN, NY 11226 (718) 421-4422 |
| 1659701621 | MS. YEKATERINA LUZHETSKAYA Individual | Registered Nurse | 1809 NOSTRAND AVE STE 2 BROOKLYN, NY 11226 (718) 421-4224 |
| 1750661146 | ASHLEY GRAHAM-PEREL Individual | Registered Nurse | 1809 NOSTRAND AVE STE 2 SUITE 1 BROOKLYN, NY 11226 (718) 421-4224 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104120591, enumerated in the NPI registry as an "individual" on December 29, 2010
The provider is located at 1809 Nostrand Ave Ste 2 Brooklyn, Ny 11226 and the phone number is (718) 421-4224
The provider's speciality is Licensed Practical Nurse with taxonomy code 164W00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on December 29, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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