Individual provider Active NPI

Lettie Edens Hursh, LPN

  • Licensed Practical Nurse
  • Rochester, NY
National Provider Identifier
1013539196
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
22472-01 Issued in NY
Practice address
73 Hillary Dr
Rochester, NY 14624-5207
Phone
(585) 944-9385
NPI assigned
May 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 22472-01 NY Primary

Addresses

Primary practice location

73 Hillary Dr
Rochester, NY 14624-5207

Mailing address

73 Hillary Dr
Rochester, NY 14624-5207
Phone (585) 944-9385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22472-01NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1013539196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 HILLARY DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245207",
            "telephone_number": "585-944-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 HILLARY DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245207",
            "telephone_number": "585-944-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURSH",
        "first_name": "LETTIE",
        "middle_name": "EDENS",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "22472-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.