Individual provider Active NPI

Maryann Lynn Oumrim, LPN

  • Licensed Practical Nurse
  • Goshen, NY
National Provider Identifier
1043597966
Registry record updated Nov 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
278334-1 Issued in NY
Practice address
252 Main St
Goshen, NY 10924-2178
Phone
(845) 294-8364
NPI assigned
Nov 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2011

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 278334-1 NY Primary

Addresses

Primary practice location

252 Main St
Goshen, NY 10924-2178

Mailing address

PO Box 341
46 Devils Road
Lake Huntington, NY 12752-0341
Phone (845) 932-8599

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
278334-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Home Care, LTD. 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": "1320537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320537600000",
    "number": "1043597966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341",
            "address_2": "46 DEVILS ROAD",
            "city": "LAKE HUNTINGTON",
            "state": "NY",
            "postal_code": "127520341",
            "telephone_number": "845-932-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 MAIN ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242178",
            "telephone_number": "845-294-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUMRIM",
        "first_name": "MARYANN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-06",
        "last_updated": "2011-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "278334-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2011; 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.