Individual provider Active NPI

Sandra Vilas-Boas, LPN

  • Licensed Practical Nurse
  • Hauppauge, NY
National Provider Identifier
1033368303
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
240162 Issued in NY
Practice address
1 Rabro Dr
Suite 104
Hauppauge, NY 11788-4270
Phone
(631) 234-2000
NPI assigned
Sep 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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 240162 NY Primary

Addresses

Primary practice location

1 Rabro Dr
Suite 104
Hauppauge, NY 11788-4270

Mailing address

20 Brightside Ave
Central Islip, NY 11722-2934
Phone (516) 477-1557

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
240162NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Telford Home Assistance Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1033368303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BRIGHTSIDE AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222934",
            "telephone_number": "516-477-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RABRO DR",
            "address_2": "SUITE 104",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884270",
            "telephone_number": "631-234-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILAS-BOAS",
        "first_name": "SANDRA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "240162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.