Elexis Agundez

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

335832 Issued in NY

Practice address

6 Williamsburg Dr
Newburgh, NY 12550-3255

Phone

(209) 809-7615

NPI assigned

Aug 15, 2019

Last updated

Aug 15, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1003462904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WILLIAMSBURG DR",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WILLIAMSBURG DR",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503255",
            "telephone_number": "209-809-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUNDEZ",
        "first_name": "ELEXIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "335832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Oxy-Med Services, Inc.
• Advanced Podiatry Associates of the Hudson Valley LLP
• Advanced Podiatry Associates of the Hudson Valley LLP
• Kola James Afolabi, MD
• Naeem Aftab, MD
• Lillian Agyemang, MSW, MHA,LNHA
• Anwar Ahmad
• Rehan Ahmad, D.O.
• Abdul Sami Ahmed, DPM
• Soyoung Ahn, MD

• Licensed Practical Nurse in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.