CARENA LAUREL WALCOTT NP NPI 1578034989

NPI Information

  • NPI: 1578034989
  • Provider Name: CARENA LAUREL WALCOTT, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11220 LIBERTY AVE
    SOUTH RICHMOND HILL, NY
    ZIP 11419
  • Phone: (718) 554-6600

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NPI Details

Carena Laurel Walcott, NP is a family nurse practitioner in South Richmond Hill, NY with 9 years of experience. Carena Laurel Walcott, NP NPI is 1578034989. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11220 LIBERTY AVE
SOUTH RICHMOND HILL, NY
ZIP 11419-814
Phone: (718) 554-6600

The NPI 1578034989 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/10/2018 and was last updated on 12/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyF342127-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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